• New Client Brazilian Wax Form

    Professional Skin Waxing Salon
  • By submitting this online form you will save time during your first appointment.  Your form will be printed out and waiting for you at the salon.  Simply tell us you completed this form.  Thank you

  • I am sorry but we DO NOT perform Brazilian Waxing on customers under the age of 18.  Thank you.

  • New Client - {fullName}


  • New Client - {fullName}

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  • New Client - {fullName}

  • PRIVACY NOTICE:
    Your address below is for our internal records ONLY! We WILL NOT mail you any information.

  • New Client - {fullName}

  • We need to know just a few things so we can provide you with a safe and efficient wax.

  • AWESOME!  You are going to love not shaving!

  • No problem.  You can explain the reaction you had when you come to your appointment.

  • NOTE!
    You may still get waxed but DO NOT tan within 3 days of your wax appointment

  • New Client - {fullName}


  • WARNING!
    The medication you selected can cause an adverse reaction to waxing.  Once you are off your medication for 3 Months you can get waxed. Your safety is important to us.

    • I understand that most services performed require me to remove my clothing. Although the therapist will do his/her best to maintain my privacy, there will be times I will be completely exposed to provide the required service.

    • I understand that the services are performed by hand and I give the therapist my complete approval to provide the requested services.

    • I understand that during my Brazilian wax, I will be waxed in my entire pubic and anal area including but not limited to the Labia, Clitoris, Vestibule & Urethra. I fully release the therapist from any legal actions that may arise from these services.

    • If at any time you are uncomfortable with the service being performed you should inform the therapist and discontinue the service.

    • I understand that there are often inherent risks associated with skin care services, and I agree that as a condition of providing these services on an ongoing basis, I will not hold this salon or any of its employees responsible should there be any unfavorable outcome or result.

    • I have been advised that the service(s) provided to me by this salon although rare may have unfavorable results including, but not limited to: allergic reaction, irritation, burning, redness, soreness, etc.

    • I am aware that certain medications and over-the-counter products can significantly increase the risk of injury when combined with waxing. Never use additional hair removal products such as but not limited to “Nair” after a waxing service for at least 4 weeks.

    • I understand that this salon does not recommend waxing for customers using Retin-A, Accutane, products containing Alpha Hydroxy, or any other skin-thinning treatments. I hereby confirm that I am not using any medication that may cause or contribute to any such injury/reaction, and I will advise my therapist should I use any such medication in the future.

    • Professional Skin DOES NOT perform Brazilian Wax services on people under the age of 18. If you are under 18 you MUST inform your therapist and you will receive a standard Bikini wax.
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