I hereby authorize SKIN AFFAIR (THREADING AND WAXING GALLERY) and its employees, staff and representatives to perform salon services (including but
not limited to threading, waxing, facials) and fully understand this procedure has limited applications.

I understand every person is different and there is no guarantee that side effects will not occur. I am aware that some services may cause inflammation, welts, hives, reddening or small breakouts. I certify that I will disclose any allergies as well as the use of antibiotics, topical acne medicines,(including, but not limited to Accutane, Differin, Retin A, Prednisone or Corticosteroids).

I understand and acknowledge there are risks involved with the waxing procedure, including but not limited to those side effects listed above. I understand any false or misleading information I have given, may lead to undesired results and complications and hereby waive and release SKIN AFFAIR(THREADING AND WAXING GALLERY) and its holding companies, agents, employees, staff and representatives from any and all liability if such results or complications occur for any reason.

I further understand my failure to follow post care instructions may also lead to undesired results, complications or effects and hereby waive and release SKIN AFFAIR (A THREADING AND WAXING GALLERY)and its companies, Agents ,Employees, staff and representatives from any and all liability if such results or complications occur for any reason.

In addition, if any complications or concerns do arise, I will notify SKIN AFFAIR (A THREADING AND WAXING GALLERY) within 24 hours.

I understand that completing this form signifies my official signature and agreement to the terms and conditions of our services.