His + Hers Waxing Consent Form Please fill out the form below Before Your Appointment Form Preferred First Name* Preferred Last Name* Phone Number*Date of Birth*Date of Birth Month Day Year Email* Have You Ever Waxed Before (any area)Have You Ever Waxed Before- Can Be Any AreaYesNoIf Yes, Which Body Parts Do you have any concerns or questions about waxing?Do you have any concerns or questions about waxing? Do you have any skin concerns?Do you have any skin concerns? Have You Ever Had Any Type Of Reaction To Waxing?Do You Have Any Allergies?PronounsPlease Select any of the following Medications/Products that you have used in the last 6 months - If other please specify* Accutane Alpha/Beta Hydroxyl Acid Antibiotics Coumadin Retin-A None Of the Above Other Other Medications/ProductsCertain medications can increase skin sensitivity. Please note it is YOUR responsibility to know if your medications/products will cause adverse reactions to waxing. *ACCUTANE DISCLAIMER* Individuals using or who have recently used Accutane ARE NOT suitable for waxing on ANY part of the body. If it has been less than 6 months from last dosage His & Hers Waxing will require a doctors note before waxing service is preformed. Anything more than 6 months will be up to esthetician discretion. If skin at any point of service appears to be compromised service will end. Waxing on individuals who use products that contain Retin-A, Retinol, Glycolic acid, or Alpha/beta hydroxyl acids. In some cases Waxing CANNOT be preformed since these creams increase sensitivity and could result in skin removal and tearing on waxed areas. Waxing while using these products must be discussed with Esthetician prior to service.24 hours after waxing the usage of hot tub's, swimming pools, UV tanning beds/sun exposure are NOT advised. Sexual activity, sweating, friction, tight clothes after wax may result in adverse reaction *WE CANNOT WAX SKIN THAT HAS BEEN EXPOSED TO UV RAYS IN THE LAST 24 HOURS OR SUNBURNT SKIN*Individuals allergic to adhesives may react unfavorably to wax. No products are 100% hypo-allergenic if you do have any allergies you are concerned about please talk with your esthetician. Waxing may cause adverse reactions such as redness and swelling. Pregnant women are more sensitive and increased redness/swelling during hair removal can occur due to increase water retention and hormonal changes that affect the skin. Waxing should not be done over varicose veins.I understand that even with the greatest care, lifting of skin, tearing, bruising or hyper-pigmentation can occur due to no fault of the person doing the waxing service. I also understand pimples, breakouts, and ingrown hair can result from waxing. I understand that wax from any procedure may stain clothing.I understand it is my responsibility to inform my esthetician of any condition that could cause adverse effects such as but not limited to: Diabetes, Cold Sores, HIV autoimmune disorders, any STI's, MS, lupus, etc. For all clientele scheduled for a manzilian wax or any wax within the genital area, the services booked and provided by His & Hers Waxing are WAXING SERVICES ONLY. We have a zero tolerance policy for any crude or suggestive language. If at any point our estheticians feel uncomfortable the service will stop immediately, you will be asked to leave and we will provide your information to the local authorities and you will also be put on a DO NOT WAX LIST. Cancellation Policy His & Hers Waxing requires 24 hours notice for any cancellations, rescheduling or changes to your scheduled appointment. If less than 24 hour notice is given a fee of 50% of the scheduled service will be charged to the card that was provided at time of booking. If no card is on file you will be sent an invoice via our booking system, this MUST be paid before you are seen again.In addition to our cancellation policy if your appointment is considered a NO SHOW you will be charged according to the following rules: 1st no show: 50% fee 2nd no show: 100% fee 3rd no show: We will no longer be able to take you as a client. Your spot is valuable and when not given proper notice it gives HHW little to no time to fill that space. An appointment is defined as a NO SHOW if less than 1 hour notice is given to cancel/reschedule service or after appointment time has started. An appointment may also be considered a no show if client is 10-15 minutes late and esthetician no longer has sufficient time to provide service. As much we love your children, due to the safety and comfort of others, we ask that you don't bring them in into the salon. In the event your esthetician asks your permission to take before and after photos, or any type of photo/video you as a client reserve the right to opt out. Clients also reserve the right to request HHW blur/crop photo if face is shownHowever if you agree, you give His & Hers Waxing permission to use for social media, advertising etc. I have read and agree to the Disclaimer, Zero Tolerance Policy & Cancellation Policy above* Yes No By typing (e-signing) my name below, I agree that I have read and understand all of the information on this form.Signature* By Typing Your Full Name Here, You Agree To All The AboveToday's Date* MM slash DD slash YYYY Today's Date
