The Wax Diva - New Client Information

The Wax Diva -Waxing San Diego Client Information

Please fill out the following questions before your appointment. Thanks, and I look forward to seeing you!

Full Name

First NameLast Name

E-mail

Birth Date

MonthDayYear

Phone Number

Area CodePhone Number

This is my...

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Are you using any of the following medictation or skin products?

Have you been tanning within the past 48 hrs?

Known allergies

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How did you find out about The Wax Diva?

If referred by someone, please let us know who:

I have waxed the following:

I like to wax...

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Thank you for completing this client information form. By giving The Wax Diva your contact information you will be subscribed to a monthly newsletter for all clients. Your information will never be shared with anyone else besides The Wax Diva and you can unsubscribe at any time...but be forewarned -you will miss out on things like birthday specials and monthly deals xoxo Tamara