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Client Waiver
First Name
Last Name
Phone
Check all that apply
Accutane
Rentin-A
Differin
Epiduo
Tretinoin
Retinal
Hydroquinone
NONE OF THE ABOVE
I understant that if I begin use, or are currently using one of the above products listed on my skin and do not inform the Esthetician prior to current or future appointments, I accept full resoponsibilty for any advers reactions.
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List allergies if any.
Are you pregnant?
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Are you sunburnt?
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I am over 18 years of age
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IF UNDER 18 YRS OF AGE YOU ARE REQUIRED A PARENT/GAURDIAN SIGNATURE
Clear
I understand that waxing may cause some redness, bumps, soreness and/or itching.
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Thank you for
submitting
!
** IF ANY PROBLEMS OR ISSUES ACCURE POST WAXING,
PLEASE CONTACT US IMMEDIATELY!**
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