Client Consent Form

Your Details

First Name*Last Name*Date of Birth*Phone*

Have you shaved within 10 days of your appointment date?*

Are you currently using or have you used any of the following in the past 7 days?*

Do you have tendencies towards any of the following?

List all Medications taken within the last 8 weeks including OTC drugs and vitamins.List allergies (if you have any)

Are you taking Accutane (or similar) or have you in the past year*

Brand names include: Accutane, Claravis, Sotret, Amnesteem, Myorisan.

Accutane Warning:*

Using retinoids (accutane or similar) can cause skin to rip off during the waxing process. For your own safety, we cannot wax you until you have been off of Accutane or similar medications for over a year's time.

I understand the dangers of Accutane. Should I decide to take Accutane in the future, I will inform my aesthetician and will not get waxed or sugared at Hello Sugar LLC at any time within one year of taking the medicine.

Table Accommodations*

Hello Sugar's standard tables are of the greatest quality and accommodate up to 400 pounds. It is important to inform your aesthetician prior to your service if there is an accommodation of any kind that would need to be made for your personal safety and that of our aesthetician, if so, we will happily make adjustments to fit specific needs. Hello Sugar LLC shall not be liable or responsible for any personal injury or consequential damage of nature, whatsoever, in direct correlation to our equipment, including our treatment tables. Please note that Hello Sugar does not ever discriminate on the basis of weight. However, it is important to inform your aesthetician if there are any limitations or special needs prior to your service.

The paragraph below explains the liability waiver for Hello Sugar LLC. By typing your name into the box below, you agree to hold Hello Sugar LLC harmless from all liability associated with the waxing, sugaring, and skin care.*

I have completed this form to the best of my ability. I will consult with my aesthetician regarding any medicine I am currently taking and any skin tendencies that may be problematic. I give permission to my aesthetician to perform the waxing procedure, sugaring, or skin care procedure and will release and hold her, her staff, and Hello Sugar LLC harmless from any and all liability that may result from this treatment, including but not limited to disability or personal injury arising from the treatment or table accommodation.

I have given an accurate account of the questions asked above including but not limited to special accommodations as well as all known allergies or prescription drugs or products I am currently ingesting or using topically, and am engaging in the treatment at my own risk. I understand medication or cosmeceuticals such as prednisone, aspirin, retin A or blood pressure medication, any and all medications used to treat acne, antibiotics that are taken either orally or topically, hormonal changes that naturally occur during your menstrual cycle, any and all products applied topically to the skin that are intended to exfoliate, compromised skin such as skin that has been exposed to the sun, dehydrated or dry, and caffeine and alcohol consumption are all items that can affect the service.

I understand my aesthetician will take every precaution to minimize or eliminate negative reactions as much as possible, and as such I hereby release the aesthetician and Hello Sugar LLC from any and all liability or responsibility for any such injury or damage.

Hello Sugar LLC and its owners, affiliates, subsidiaries, employees, agents, and authorized persons do not make any promises, guarantees, etc. regarding the results one may achieve following completion of the treatment.