PureWax and Beauty
Waxing Consent Form
Personal Information
Full Name
Date of Birth
Must be 18 years old; ID will be checked if you look younger than 18.
Phone Number
Email Address
Referral & DIscovery
How did you find us?
Skincare Products
Stop two weeks prior
Stop 7 days prior
Stop 1 year prior
Stop 2 weeks prior
Stop 2 weeks prior
Stop 3-5 days prior - may cause sensitivity
Medical Information & Contraindictions
If due within 7 days I cannot service you, please reach out to your health provider.
Do you have or had any of the following conditions?
Client Requirements
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At least 3 weeks of hair growth (~¼")
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No shaving the area within the past 3 weeks
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No fever or sickness on appointment day
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Avoid caffeine & alcohol before service
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Exfoliate 24–48 hrs before (not on appointment day)
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No exercise immediately before/after
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Avoid sun exposure 24 hrs after waxing
Salon Policies
Late Cancellations Policy
If you cancel with 48–12 hours’ notice, we keep your deposit and you’ll owe a new deposit. If you cancel under 12 hours or same‑day, we keep your deposit and charge the remaining balance to the card on file.
Medical Disclaimer
I certify I have no current skin conditions (e.g. eczema), haven’t used Accutane in 12 months, no active sunburn/peels, and I’ve disclosed relevant history. I’ll inform PureWax & Beauty LLC of any changes.
Skin Care
No retinoids/AHAs 2 weeks prior or tretinoin 7 days prior; no lotions/creams on appointment day to avoid irritation.
Waxing Process
PureWax & Beauty LLC will explain risks, side effects, and steps to minimize discomfort.
Dispute Resolution
Disputes → negotiation → mediation → arbitration in Santa Clara County under California law.
Late Arrival Policy
Arrive on time; late arrivals may be shortened with full fee applied; 10% fee for delays over 5 minutes.
Payment Policy
I understand PureWax & Beauty LLC does not carry change—if paying cash, please bring the exact amount.
Privacy Policy
PureWax & Beauty LLC will handle personal data per its privacy policy.
Service Modification Policy
To modify or remove services, inform us 48 hours before; otherwise you’ll be charged for booked services.
Period Policy
PureWax can wax you while on your period if you bring a tampon. If you cancel/reschedule due to period, standard cancellation policy applies.
Service Agreement
I, understand waxing services involve hair removal from the root, may cause discomfort/redness/irritation, and these effects are normal and temporary. I agree to inform the esthetician of any medical conditions, allergies, or sensitivities.
I understand results vary and I’m responsible for maintenance appointments.
I consent to services and hold PureWax & Beauty LLC harmless for adverse reactions.
Signature
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