Allergy Waiver

Beauty Salon Allergy Waiver Form
Name
First NameLast Name
Date of birth
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Do you have any known allergies or sensitivities?
If yes, please list any allergies or sensitivities (e.g., products, ingredients, latex, etc.):
Have you ever experienced an allergic reaction to beauty products or salon procedures in the past?
If yes, please describe the reaction and the products or procedures involved:
Beauty Services Agreement:
I understand that the salon uses various beauty products and procedures that may contain allergens or irritants. I agree to disclose any known allergies or sensitivities to the salon.
I understand that it is my responsibility to inform the salon staff of any changes to my allergy information before each appointment.
I acknowledge that the salon will take reasonable precautions, but I release the salon and its staff from liability in case of any allergic reactions or adverse effects resulting from beauty services.
I understand that a patch test may be recommended for certain services, and I agree to undergo a patch test if advised by the salon.
Signature
Clear
Date Signed
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Beauty Salon Allergy Waiver Form