Home
Services
Sugaring
Enhancements
Epilfree + Sugaring
Skin
Paramedical face treatments
Forms
Sugaring consent form
Policies
Book Now
Contact
Sweet House of Skin
Home
Services
Sugaring
Enhancements
Epilfree + Sugaring
Skin
Paramedical face treatments
Forms
Sugaring consent form
Policies
Book Now
Contact
Sugaring consent form
Sugaring Consent Form
Name
*
First Name
Last Name
Phone
*
(###)
###
####
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Date of Birth
*
MM
DD
YYYY
Email
*
How did you hear about us?
*
List any known allergies
*
If none, please type NONE.
Are you currently or been on Accutane, Retin-A or Retinol?
*
If yes, when was the last treatment?
Yes
No
Month and year
last treatment of using Accutane, Retin-A or Retinol. Only fill out if you clicked "yes" in the above box.
Check all that apply
*
Ingrown Hair
Breakouts
Eczema
Bruising
Psoriasis
Scarring
Hyperpigmentation
Skin irritation
None of the above
What method of hair removal are you currently using?
*
Cancellation & No-Show Policy
*
I have read Sweet House of Skin's cancellation and no-show policy. I understand that my card on file will be charged if I violate the terms of the policy. I understand Sweet House of Skin does not need to notify me of the charge if I break the terms of the cancellation and/or no-show policy.
I Do Not Agree
I Agree
*
The paragraph below explains the liability waiver for Sweet House of Skin, LLC. By typing your name into the box below, you agree to hold Sweet House of Skin, LLC harmless from all liability associated with the sugaring and skin care. I have completed this form to the best of my ability. I will consult with my aesthetician regarding any concerns I have at the time of treatment. I will notify Sweet House of Skin, LLC aesthetician of any medical conditions I have. I give permission to Sweet House of Skin, LLC aesthetician to perform the sugaring hair removal procedure and will not hold the aesthetician or Sweet House of Skin, LLC for any liability that may result from this treatment. I understand my aesthetician will take every precaution to minimize any negative reactions as much as possible. In the event that I may have additional questions or concerns regarding my treatment, I will consult with the aesthetician immediately. I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I certify that I have read, and fully understand the liability waiver and that I have had sufficient opportunity for discussion to have any questions answered. I understand the procedure and accept the risks.
Thank you!