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Beauty & Personal Care
Waxing Consent Form
Collect client details, skin history, and signed consent before a waxing service — safe for salons and mobile estheticians.
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Preview · not interactiveWaxing Consent Form
Collect client details, skin history, and signed consent before a waxing service — safe for salons and mobile estheticians.
Waxing removes hair from the root and may cause temporary redness or sensitivity. Please read the consent statement below and answer honestly about your skin and health so your esthetician can adjust the service safely.
Your full name*
Email address*
A copy of your signed consent can be sent here.
Mobile number*
Area being waxed today*
Select…▾
Describe the area
e.g. stomach line, full arms…
Do any of these apply to you today?*
Sunburn or recent tanning
Using retinol or exfoliating acids (last 7 days)
Accutane or similar (last 12 months)
Active eczema, psoriasis, or open skin
Allergies or medications (optional)
Waxing consent*
Waxing consent
Your signature*
Sign here
Sign to confirm the information above is accurate.
Submit