Client Form
Sugar Baby Wax ...Georgetown

As a new client to Sugar Baby Wax will ask you to fill out our client form.  This form is designed to discreetly provide us with enough information to provide you with the best service you desire.  Each time you come in for a service we will ask you if there has been any change to the information on the form.

 

Sugar Baby Wax ONLY provides HIAR REMOVAL services. We expect to be treated RESPECTFULLY and any INAPPROPRIATE behavior or suggestive comments we will ask you to leave.

Wax Questionnaire
Today’s Date _________________________ Birthday__________________________
Name_______________________________________________________________________
Address_____________________________________________________________________
City____________________________ State___________ Zip_________________________
Cell Phone (__________) ______________________________________________
email_______________________________________________________________
What is your occupation? _______________________________________________
How did you hear about us? _____________________________________________
What body part are we waxing today?_____________________________________
When did you last shave? ___________How often do you shave?__________
Do you have any tendencies to:
Ingrown hair _____yes _____no Hyperpigmentation _____yes _____no
Scarring _____yes _____no Bruising _____yes _____no  Bumps _____yes _____no

Are you currently using or taking:
Accutane _____yes _____no Resorcinol _____yes _____no
Retin-A _____yes _____no Glycolic Acid _____yes _____no
Alpha-hydroxy Acid _____yes _____no Scrub or Peel of any kind _____yes _____no
Medical Data
Herpes Virus_____yes _____no MRSA_____yes _____no
Allergies _____yes _____no Please list_____________________________________________
Other_________________________________________________________________________
If I have Herpes or MRSA I may experience an outbreak. My professional has explained the reasons and I understand. __________please initial
I understand I may carry Herpes and/or MRSA without any physical symptoms or having had a medical diagnosis confirmed. ___________please initial
Waxing may cause: Bruises, scabs, scarring, redness, hyperpigmentation or pimples.
Waxing of soft tissue may cause the skin to tear resulting in the need for stitches. (Most common
occurrence is in Brazilian Bikini waxes, male or female.)
I understand all of the above mentioned reactions. I also understand if I change my skin care routine or medications I must inform the professional PRIOR to starting any service in the future.

______________________________________________________________________________
Client Signature                               Date                   Esthetician Signature              Date

Sugar Baby Wax , LLC Phone:  301-535-9201



One last note about waxing:

We prefer not to tweeze your hair. This takes some getting used to on your part, but the reason for this is
that it will make your waxing service longer lasting.
Perfect waxing means wax is applied and removed and all the hair comes off. Now you have a smooth,
stubble free area that remains hairless in-between appointments. This only occurs if the hair is long
enough to be pulled out by the root. Tweezing interrupts this from happening.
So we ask that you be patient for about 1 month, don’t tweeze, shave or use a depilatory cream, come in
every 3 to 4 weeks like clockwork and you will love your waxing even more then you do now!
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Client Recap
I declare that my skin care routine and medications have not changed from the statements
of the previous page and are exactly the same as when I originally signed the release form.

Client Signature                                                                  Date
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