Vajacial Consent Form

Personal Information

• Date.
• Name.
• DOB.
• AGE.
• Address.
• Phone.
• Occupation.
• Email.

Solicitud

I, (print name) ______________________, am requesting and consent to have "IJM STUDIO & SPA LLC" perform a vajacial service with (check one) Derriere and/or Thighs.

Precautions — cada punto requiere iniciales

1. I agree that I will be required to remove most or all of my clothing in order for this service to be performed.
2. I understand that during this treatment, "JM STUDIO & SPA LLC" will apply cleansers, lotions, creams, masks or tonics to my pubic mound area.
3. I agree that if at any point should I feel uncomfortable, I will notify the esthetician performing the service immediately.
4. I understand the intimate nature of this treatment as well as the benefits and/or risks associated with this procedure.
5. I understand that if I add-on to this service Derriere and/or Thighs, at some point I will have to turn over and will be lying face down.
6. I understand that due to the sensitive nature of the area the services are to be performed, I may experience an allergic reaction, tingling, stinging, redness, burning, or other types of irritation in the areas specific to this procedure.
7. I agree that if I feel any pain or discomfort I will notify the esthetician immediately so they may adjust accordingly.
8. I understand I should not tan, use sunless tanner, or seek another vajacial for at least 24 hours post procedure.

Acuerdo final

I understand this agreement is binding and that I have read and fully understand all information listed above. I represent that I am over the age of 18, and consent to this procedure under these terms. I have completed this form to the best of my ability and knowledge and agree to inquire about questions I may have before "JM STUDIO & SPA LLC" begins performing the procedure. I have been informed of and understand the contraindications to the requested treatments and agree that I do not have any condition(s) that would make the requested treatment unsuitable. I will inform my esthetician of any discomfort I may experience during the requested treatment to allow them to adjust accordingly. I agree to waive all liabilities toward my esthetician and "Joselin Ortega / JM STUDIO & SPA LLC" for any injury or damages incurred due to any misrepresentation of my health history.

• Signature.
• Date.

Nota de fidelidad: IJM STUDIO & SPA LLC aparece así en la fuente.