Wax Consent Form

I have not used a scrub, Retin-A, Retinol OTC, antibiotics, take home micro-dermabrasion, glycolic peels, other peels, or tanned in the last 2 weeks.*

I have been off Accutane for at least twelve (12) months.*

Some possible side effects include redness, swelling and pimples, but these are temporary and generally clear up within 72 hours.*

For any waxing in the groin area, I will notify my service provider if I am on my menstrual cycle and follow their instructions on how to prepare prior to my appointment.*

I do not have any open skin lesions or active herpes outbreak (cold sore or genital).*

I agree to adhere to all safety post care including: no peels, tanning or wet room services; no swimming/spas/hot tubs for 72 hours after waxing; and all home skin care protocols as recommended by my service provider.*

No clients under the age of 16 and all minors (under 18) must have parental/legal guarding consent co-signed below.*

I will call to inform my service provider of any complications or concerns I may have as soon as they occur.*

If I am requesting a Brazilian wax, I confirm I am not a minor (under 18).*

For Brazilian waxing services, please ensure the hair length is no less than 1/4 inch and no more than 1 inch long. Kindly note, if trimming is required at the time of your appointment, there will be an additional $15 charge.*

I understand that with treatment certain risks are involved and that any complications or side effects from known or unknown causes could occur. I freely assume these risks. I give permission to Wax Fairy to perform the waxing procedure(s) and will hold her and her staff harmless from any liability that may result from this treatment.*

My signature acknowledges that I have read and agree to receive the services or series of services I have requested listed above and that I will adhere to all of the aforementioned statements that I have checked off.*

I confirm that the information given in this form is true.*