Waxing Consent

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Waxing Consent

First and Last name *

How often do you have waxing done? *

Every 4-6 weeks

Every 8 weeks

1 to 2xs a year

Not often

Have you ever had a reaction to any waxing services? If so, please type “yes” and explain. If no, please type “no” *

Do you experience any of the following? *

Please check all that apply

Ingrown hairs

Scarring

Bumps

Hyperpigmentation

Brushing

Required

Are you allergic to anything? If yes please explain. If no type in N/A *

Are you currently pregnant? *

Yes

I have been advised by SPA ZCP that the services provided could have unfavorable results including but not limited to: allergic reaction, irritation, burning, redness or soreness. I am aware that certain medications and over the counter products can significantly increase injury when combined with any skincare services. I understand that SPA ZCP does not recommend any services if I’m using any retin A or retinol, dermatologist skincare or bar soaps. I hereby confirm that I am not using any medications or products that may cause or contribute to such injury/reactions and I will advise SPA ZCP if I begin to in the future. I understand that there are often inherent risks associated with skincare services and I agree that as a condition of providing these services on an on going basis, I will not hold SPA ZCP and esthetician’s liable.

Please sign (type) your name if you consent to the above paragraph. If not, we will not be able to perform treatment today *

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