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His & Hers Waxing Consent / COVID -19 Screening Form

Before Your Appointment Form

  • Date Format: MM slash DD slash YYYY
  • Other medications can increase skin sensitivity. Please note it is YOUR responsibility to know if your medications/creams will cause adverse reactions to waxing. TANNING, SWIMMING AND HOT POOLS are not advised 24 hours after waxing. Individuals allergic to adhesives may react unfavorably to wax. No products are 100% allergenic. Waxing may cause adverse reactions such as redness and swelling. Those individuals taking Accutane ARE NOT suitable for waxing on ANY part of the body. They must wait 6-9 months after treatment is complete. Waxing is not permissible on clients who use creams that contain Retin-A, Glycolic acid, or Alpha/beta hydroxyl acids. Waxing can NOT be since these creams increase sensitivity and could result in skin removal and tearing on waxed areas. Waxing should not be done over varicose veins. 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. I realize it is my responsibility to inform my esthetician of any condition that could cause adverse effects as but not limited to: Diabetes, HIV Autoimmune disorders, MS, Lupus, etc. I realize 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.
  • 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 wax performed will stop immediately, you will be asked to leave and we will provide your information to the local authorities..
  • Prior to 24 hours in advance or be charged a 50% cancellation fee. By confirming this appointment, you are agreeing to our cancellation policy Due to scheduling concerns your spot is valuable and could be filled given enough notice. His & Hers Waxing will be charging a 50% fee on the service booked with anything less than a 24 hour notice on the cancellation I have thoroughly read and clearly understand the previous information. I have divulged all pertinent information. If i am having a brazlian wax, I am 18 years of age or over.
  • Due to the 2019/2020 outbreak of the Coronavirus, COVID-19, we are taking extra precautions with the intake of each client, health history review, as well as sanitation and disinfecting practices. Beginning May 2, 2020 each client MUST read and agree to the following before entering His & Hers Waxing. Symptoms of COVID-19 include fever, fatigue, dry cough and difficulty breathing. Please read and agree to the following conditions that are state regulated before you schedule and attend your appointment. If you cannot agree to any of the following, please stop and reschedule your appointment for when you can meet these requirements. Your esthetician and all employees of His & Hers Waxing agree that they also abide by these same standards. We also affirm that we have improved and expanded our sanitation protocols to more thoroughly fight the spread of COVID-19 and other communicable diseases.We ask for your undertstanding that masks must be worn in the salon. Also, our lobby is closed, and we are not allowing guests/children into the salon at this time.
  • By typing (e-signing) my name below, I agree that I have read and understand all of the above stipulations. I will comply with any safety measures asked by His & Hers Waxing employees.
  • By Typing Your Full Name Here, You Agree To All The Above
  • Date Format: MM slash DD slash YYYY