New Client Form

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Home
- About Silk Body Waxing Studio
- Founder
Waxing Services
Appointments
- Policies & Protocols
Forms
- New Client Form
- Photo/Video Consent Form
FAQ
Reviews
Blog
Contact
- Employment

New Client Form

For first time clients: If you've already scheduled your appointment, please fill out this one-time, waxing consent form and submit. Pre-filling out this form will help to expedite the start of your service(s) upon arrival.

* Indicates required field

Name *

Date *

Phone Number *

Email *

Referral Source *

Have you ever had professional waxing? *

Yes No

Have you ever had an adverse reaction to waxing? *

Yes No

If yes, please explain *

Have you been tanning in the past 72 hours? *

Yes No

Are you currently affected by one of the following conditions? *

Have you recently taken any of the following medications or products? *

Use of the medications listed above increases the possibility of a reaction. Please inform the esthitician if you are taking any of the items listed above.

Do you shave? *

Yes No

If yes, when was the last time you shaved? *

Are you allergic to soy? *

Yes No

Do you have any allergies? *

After waxing
*Please note waxing may have certain side effects such as redness, tenderness, hyperpigmentation, pimples, bumps, etc. Please, check each paragraph, acknowledging that you fully understand the following information:

Some possible side effects include redness, swelling, pimples, etc., which are temporary and generally fade within 72 hours. *

I understand

I agree to adhere to all post-care safety, including, no strenuous activities, tight clothes, chemical peels, tanning or wet room services, swimming, spas, hot tubs, or other "heat induced activities" for 48 hours after waxing. This will ensure that the skin will not become irritated, inflamed or infected. For further details, please consult your esthetician. *

I understand

Please Be Advised to Avoid the Following:
- Use of a loofah or other abrasive exfoliates to the waxed area.
- Any topical prescriptions for 3 weeks prior to waxing and 10 days after. Products include: AHA's, BHA's, glycolic acid, salicylic acid and retinol derivatives
- Shaving in-between waxing appointments. Doing so will encourage ingrown hairs and will make hair more difficult to remove by waxing due to its coarse texture. (Hair removal around the perineum and labia is often coarse and grows in several different directions. It will take a consistent waxing regimen without shaving in between to remove all the hair in these areas).

Please be Advised to do the Following:
- it is suggested that you allow your hair to grow at least 9-14 days prior to your waxing appointment
- It is beneficial to the client to be on a consistent waxing schedule (every 4-6 weeks) when beginning a waxing routine. Hair will grow back less as the root is destroyed and you will be able to wait longer between sessions.

I have read the above information and if I have any concerns, I will address these with my esthetician. I give permission to my esthetician to perform the waxing
procedure we have discussed and will hold and her and her staff harmless from any liability that may result from this treatment. I have given an accurate account
of the questions asked above including all known allergies or prescription drugs or products I am currently ingesting or using topically. I understand my esthetician
will take every precaution to minimize or eliminate negative reactions as much as possible.

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 above paragraphs and that I have had sufficient opportunity for discussion to have any questions
answered. I understand the procedure and accept the risks. I do not hold the esthetician, whose signature appears below, responsible for any of my

I, _______________________________________________ acknowledge that the service(s) I received from SILK | Body Waxing Studio were provided to me with
my permission, and I understand that SILK Body Waxing Studio will not be held liable in the case of any post-waxing skin irritation on or near the serviced
area(s).

I understand that the information given above is strictly confidential and will be used for no other purpose than to assist the service provider/esthetician
customizing my waxing experience. I also understand that failure on my part to disclose information could result in injury and/or illness and I hereby release SILK |
Body Waxing Studio from any claims resulting from such. Any information provided to me by the service provider/esthetician is for general educational purposes
only and is not intended for any medical or therapeutic purpose.

By clicking submit, below, I am indicating that I fully understand and accept the terms of service rendered by SILK Body Waxing Studio.

Submit

EveryBODY gets waxed here.

Location
1418 S. 13th Street
Second Floor
Philadelphia, PA 19147
*Public Transit Riders: Located 2 blocks from S. Broad Street and Tasker-Morris substation
*Drivers: FREE, 2hr. non-metered, street parking

Appointment Hours
Sunday + Monday: Closed
Tuesday - Saturday: 10:00a - 6:00p

Contact
P: 215-687-6698
E: info@phillywaxing.com

​New Client Form​

New Client Form