Waxing Consent Form

Please note that waxing can have certain side effects such as skin removal, swelling, redness, and tenderness.

Initial Here

I have read the above information and if I have any concerns, I will address these with my skin therapist. I give my permission to my therapist to perform the waxing procedure we have discussed and will hold her and her staff harmless from any liability that may result from this treatment. I have given any and all accurate account of the questions asked above including all known allergies or prescription drugs and products I am currently ingesting or using topically. I understand my Esthetician will take every precaution to minimize or eliminate negative reactions as much as possible. In the event that I have additional questions or concerns regarding my treatment or suggested home product/ Post-treatment care, I will consult my esthetician immediately.

Initial Here

I agree that this constitutes full disclosure and that it supersedes any previous verbal or written disclosures. I certify that I have fully read and understand the above paragraphs and that I have had sufficient opportunity for discussion to have any questions answered. I understand the procedure and accept the risks. I do not hold the esthetician or Practically Perfect Day Spa and Salon, responsible for any of my conditions that were present but not disclosed at the time of the skin care procedure, which may be affected by the treatment performed today. 

Initial Here

 

Signee Information






















Sign Here

By clicking 'I Agree' below, you agree that you have read and agree with the terms of the waiver and that the information you provided is accurate. You furthermore agree that your submission of this form, via the 'I Agree' button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this agreement.