Guest Consultation/Policy Agreement Form
Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Please share your Instagram/Facebook handle & how did you find out about Ci.Beaute Esthetics?
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Cancellation Policy: All appointments are non-refundable. Appointments may be cancelled 48 hours prior without penalty and can be rescheduled to another date as a one-time courtesy. You will receive two reminders from my booking site and one confirmation text to confirm your appointment.
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Agree
Cancelling less than 48 hours prior to your appointment you will be charged a $25 fee prior to your rescheduled visit. No call/No show appointments will be restricted from further booking.
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Agree
Lateness Policy: 10 minute grace period and anytime beyond that you will need to reschedule your appointment as well as pay the $25 fee. Due to limited business hours I would like to be fair to the next guest's appointment time.
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Agree
Medical History : Please list the following health concerns or lifestyle changes you have or have had in the past? This information is needed in case you have any contradictations that will interfere with receiving a wax service.
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High Blood pressure
Diabetes
Heart Problems
Ezcema
Epilesy
Psoriasis
Back Problems
Allergies
Currently Breastfeeding/Expectant Mother
Other
List all medications you take on a regular basis and reasons for usage. *You may not receive a waxing service if you have recently used Retin A or Accutane*
*
What products do you currently use in your body/intimate area? Are you satisfied with your results? *First time waxers- Hair growth should be longer than a grain of rice before your appointment* If you recently shaved or used any chemical depilatory such as Nair or Veet you must grow the hair out at least 3 weeks max*
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Do I have permission to take photos/videos of your service and post on social media?
Yes
No
Please note that waxing can have certain side effects such as skin removal, redness, swelling, tenderness, etc. I have read the above information and have given an accurate account of the questions and if I have concerns, I will address these with my Esthetician. I give permission to perform the waxing procedure we have discussed and will hold her harmless from any liability that may result from this treatment. I understand that my Esthetician will take every precaution to minimize or eliminate negative reactions as much as possible. If you agree to the above statement please sign your name below. *Please print name below*
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If you agree to the terms and conditions above please sign below:
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Thanks for chosing Ci.Beaute Esthetics! Your business and support is greatly appreciated.
Submit
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