Contact information

First name

Last name

Email

Phone

Birthday

Month

Day

Year

What waxing service(s) are you booking today? (Brazilian, Underarm, Legs, Face, etc.)

Have you received this type of wax before?

When was your last wax or shave in this area?

Have you exfoliated the area within the last 48 hours?

Are you currently on your menstrual cycle? (Only if booking a Brazilian. Optional but good to know.)

Do you have any of the following skin conditions in the area being waxed?

Are you currently using any of the following on the area being waxed?

Do you have any allergies or sensitivities to:

Wax or waxing products

Fragrance or essential oils

Latex

Other (please specify)

Are you currently pregnant or nursing?

Yes

No

I understand waxing may result in temporary redness, bumps, irritation, or ingrown hairs

I confirm I am not using any contraindicated medications or treatments

I agree to follow the aftercare instructions provided by my esthetician

I release my service provider from liability for any reactions caused by undisclosed conditions or failure to follow pre/post-care instructions

I consent to receive services today and have answered truthfully to the best of my knowledge.

New Client Wax