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BRAZILIAN WAX STUDIO
WAXING CONSENT FORM
First name
Email
Address
Last name
Date of Birth
City
State
Do you have any allergies? If so, list below
Are you currently using or have used any of the following medications or topicals in the past?
Accutane
Retinol/Retin-A/Retinoids
Glycolic/Salicylic
Antibiotics
none
Are you currently pregnant?
*
Yes
No
Have you had sun exposure in the last 24 hours?
*
Yes
No
Do you have minimum 3 weeks of hair growth?
*
Yes
No
Are you 18 years or older?
*
Yes
No
I have read and agree to LOVE THY WAXER LLC
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