wax waiver form online - WaiverElectronic

SI Wax LLC, SI Wax 2 LLC, and SI Wax 3 LLC

DBA European Wax Center Staten Island

Please Enter Date *

Please enter valid date.

Please fill your name: *

Please enter your full name.

Mobile number: * Please enter your phone number.

Email: * Please enter your email.

Date of Birth: *

Please enter valid date.

Which is your primary Staten Island location *

Hylan Blvd

Richmond Ave ( Heartland Village)

Tottenville (South Shore Commons)

Please select at least one choice above.

Have you used or had any of the referenced items in the specified time span? ( Please be specific and accurate as these may have potential contra-indications to waxing services and have adverse reactions)

Accutane (last 6 months) Please check it here.

Retin-A or any other topical acne medications (7 days) Please check it here.

Protopic/Tacrolimus, Efudex or any other prescribed topical cream (7 days) Please check it here.

Armour (7 days) Please check it here.

Alpha Or Beta-hydroxy Acid, Glycolic Acid (2 days) Please check it here.

Scrub, Facial or Peel (2-3 days) Please check it here.

Tanning Bed (1 day) Please check it here.

Glycolic Acid Please check it here.

Are you taking anything else that is not listed above that could interact with your waxing service? If you are unsure please list the product below for review Please enter your answer here.

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I acknowledge that the above information is accurate. If anything changes in the future it is my responsibility to inform European Wax Center Staten Island * Please click the yellow area and provide your initials here.

FAQs and Recommendations

*Our Late Policy. If you are more than 9 minutes late to your reservation, the system will mark you as a no-show and we may have to reschedule all or part of your services. We ask that you call and let us know when you are running late.

*We recommend that hair should be at least ¼ of an inch in length in order for wax to grab it.

*If you are on your menstrual cycle you may experience more discomfort then usual.

*You are still able to wax if you are pregnant however you will possibly experience more skin sensitivity due to hormonal changes. Please let your wax specialist know if you suspect that you may be pregnant.

*If you received an abrasive chemical or mechanical facial we will ask you to wait 7 days prior to receiving facial waxing services.

*We recommend waiting 24-48 hours between waxing and tanning.

*We will not perform waxing services on sunburned or irritated skin. Our wax specialists will determine if it is safe for you to wax in the room.

For more information, visit: waxcenter.com

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I have read and understand the FAQ's and Recommendations * Please click the yellow area and provide your initials here.

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By providing a contact telephone number and/or e-mail address, you hereby consent, acknowledge and agree that EWC or its affiliates, franchisors, fellow franchisees, contractors, employees, agents or representatives of any of them may (but without any obligation to do so and without limiting its rights or obligations under this Contract (as defined below)), directly or indirectly, send you e-mail and/or text message notifications or initiate auto-dialed pre-recorded telephone reminder communications to the e-mail address and/or telephone number(s) provided, which may be generated using automated technology. Automated communications may include payment or reservation reminders or confirmations, special offers or promotions and/or other related guest notifications. Your consent to receive such mes- sages or provide contact information is not a condition to make any purchase, but may impact our ability to communicate with you and accept reservations on your behalf. Standard message and data rates may apply. The foregoing shall not limit any other consent you may provide from time to time for e-mail, text message or other business or related electronic communications. Guests may opt-out or unsubscribe to receiving electronic communications at any time. The consent provided above shall survive the expiration or earlier termination of this Contract, and shall remain in effect until revoked by you by following applicable opt-out or unsub- scribe instructions. Questions can be directed to [email protected] * Please click the yellow area and provide your initials here.

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I understand my wax specialist will take every precaution to minimize or eliminate negative reactions. I will consider following the product recommendations made by my wax specialist for a home care regimen that can minimize or eliminate possible negative reactions and provide superior results. I understand that I may experience common waxing side effects such as skin removal, redness, scabbing, bruising, scarring, swelling, tenderness, pimples and in-grown hairs. I give permission to my wax specialist to perform European Wax Center’s 4 Step waxing process and I assume any risk, and, except as otherwise prohibited by law, take full responsibility and waive any claims associated with European Wax Center's activities and events performed by its licensed wax specialists. Except as otherwise prohibited by law, This is a waiver of any claim or action against European Wax Center and the wax specialist. * Please click the yellow area and provide your initials here.

Your Signature *

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