Glowdega Personal Grooming

Name*

First NameLast Name

DOB*

Date

Will you be waxed or sugared?*

WaxSugar

Have you been waxed/sugared before?*

YesNo

Have you recently had a chemical peel, microdermabrasion, or tanned in the last two weeks?*

YesNo

Please read and double-check everything. Risks to be aware of, as well as further information.*

	Check Status
I understand that any blood thinners, alpha hydroxy/glycolic acids, Retin A, or Accutane are contraindicated and may induce skin lifting. It is not advisable to be waxed if I have been using any of these products within the last two weeks. I also understand that I may not wax if I have been on Accutane or similar prescriptions within the last year.
I understand that waxing/sugaring is not recommended if I have uncontrolled diabetes, open wounds, sunburn, or varicose veins. If my esthetician finds these present, I may be denied service.
I understand sugaring is more gentle on the skin but in some cases may result in bruising, skin irritation, and inflammation.
I understand that it is my responsibility to inform my Esthetician if I have any medical conditions now or in the future.
I give my Esthetician permission to undertake the sugaring/waxing hair removal we discussed, and I agree to hold harmless and nameless from any liability that may arise as a result of treatment.
I accept that I shall consult Esthetician if I have any issues about the treatment.

BIKINI AND BRAZILIANS:

Please maintain the same level of hygiene as you would for a doctor's visit. Having clean, dirt/debris-free skin and hair. Before the service, an intimate wipe will be provided. Menstruating clients can be serviced but we require a cup, disc, or tampon to be worn during the service. If adequate hygiene is not followed, the esthetician has the authority to refuse service.

LATE POLICY

If you arrive more than 10 minutes late for a service appointment, it may be cancelled (recorded as a no show) and you may be charged a fee or your appointment time may be reduced.

We have zero tolerance for innuendos, advancements, coercion, suggestive conduct, language, or intimidation related to sexual harassment. Any of this could lead to a police investigation.

Do you agree to be photographed or videotaped before, during, and after treatment? (Brows, arms, legs, and torso)*

YesNo

Are you under 18 age?*

YesNo

Your Signature*

Clear

Date*

Date

Parents/ Guardian Signature

Clear

Date

PERSONAL GROOMING

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