Name *

First Name

Last Name

Phone *

(###)

###

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Today's Date *

MM

DD

YYYY

I am informing my technician of any of the following contraindicated conditions: *

(please read and check all that apply)

Have you used any Alpha Hydroxy Acid (AHA) or glycolic products in he past 48-72 hours?

Current use of Retin-a, Renova or Accutane (an oral form of Retin-a)

Current use of any skin thinning products and/or drugs?

Have you recently spent time in the sun and/or tanning bed?

Are you a diabetic?

Allergies or sensitivity to instruments, waxes, cleaners or eye gel pads.

None

PLEASE READ *

I understand that facial waxing involves the removal of hair using warm wax applied to the skin. While this is a safe and routine treatment, I acknowledge the following: I understand and accept that: Temporary redness, sensitivity, swelling, irritation, or small bumps may occur after waxing. Waxing may result in skin lifting or bruising, especially on sensitive or medicated skin. I must inform my technician if I am using any of the following: Retin-A, Retinol, Tretinoin, Differin, Accutane (must be discontinued at least 6 months prior) AHA/BHA products, Glycolic Acid, Salicylic Acid Antibiotics (oral or topical) Chemical peels, microdermabrasion, or recent laser treatments Waxing over moles, sunburn, rashes, open wounds, or broken skin is not allowed. I must notify my technician of any medications or medical conditions that may affect my skin's sensitivity or healing. It is my responsibility to follow the aftercare instructions provided to avoid irritation or complications. Possible Side Effects & Risks Although rare, I understand that the following may occur: Skin lifting Bruising or minor scabbing Allergic reaction to wax or aftercare products Ingrown hairs or breakouts Before Your Service To ensure the best results, I confirm that: I have not used retinoids, exfoliants, or other active skincare products on the area within the last 5–7 days. I have not had recent sun exposure or tanning on the treatment area. I have not had a chemical peel or laser treatment on the area within the last 2 weeks. I am not currently using Accutane or any skin-thinning medications. Aftercare Guidelines Avoid sun exposure, sweating, hot baths/showers, or touching the waxed area for 24–48 hours. Avoid exfoliating the treated area for 48–72 hours. Apply soothing products (such as aloe or a post-wax balm) as recommended by your technician. Release & Liability Waiver I understand that by signing this consent form: I release BR Brows + Beauty and its staff from any liability should a reaction occur due to undisclosed conditions, medications, or improper aftercare. I have been informed of the procedure, risks, and post-care. I am over the age of 18 or have parental consent (if under 18). I give my consent to proceed with facial waxing services today. I give permission for before/after photos to be taken and used for marketing purposes. Non-Refundable Deposit Consent By signing below, I agree to pay BR Brows + Beauty a non-refundable deposit in the amount of: $15.00 for a Lip Waxing service or $20.00 for a Brow Waxing service This deposit is required to secure my appointment for spa services. I acknowledge and understand that if I choose to cancel or reschedule my appointment at any time after submitting this deposit, all deposits and payments made will be forfeited and no refunds will be issued—no exceptions. I confirm that I have been informed of this policy and voluntarily consent to pay the non-refundable deposit. By signing below, I fully understand and accept BR Brows + Beauty’s Non-Refundable Deposit Policy. Note: A 15% gratuity will be added to your total service cost at checkout.

I AGREE AND UNDERSTAND THE ABOVE TERMS AND ASSUME ALL RESPONSIBILITY