♡⊹˚₊୨୧ skin glow by chals ୨୧₊˚⊹♡

Waxing Client Intake Form

Your Information

First Name *

Last Name

Phone

Full Name *

Phone Number *

Date of Birth *

I have gotten facial waxing done before. *

Allergies, Sensitivities, and/or Medical Conditions *

Include skin conditions, allergies, medications, or anything we should know

I am not currently pregnant or nursing

Some treatments may not be suitable during pregnancy

I have used these products/done these services 3-5 days prior to my appointment: *

RetinolTretinoin/RetinoidsAHA/BHA productsBenzoyl PeroxideEnzyme Exfoliants/Chemical PeelsPhysical Face/Body scrubs or Exfoliating Pads Acidic SerumsSelf-TanningNone of the Above

Additional Notes

Photo & Social Media Consent *

May we photograph your results and share them on our social media or website?

Client Signature *

Sign here

By signing, you acknowledge the information above is accurate

Back