I certify that the above statements are true and correct and that I, have been informed by my esthetician of the nature of the services(s) being provided. I, understand that waxing treatments performed at MKP Waxing Salon, LLC are for the sole purpose of hair removal, with awareness that certain side effects of waxing such as skin removal, redness, swelling and tenderness are possible. I understand that my esthetician is not a physician and cannot diagnose or prescribe towards any medical condition or disease. I understand that it is my
responsibility to notify my esthetician of any changes in my health or medical history. I understand that it is ultimately my responsibility to notify my esthetician if I am ever in discomfort or pain. I understand that any soreness or adverse medical condition incurred during my waxing treatment will be my fault alone. I hereby state that I have read the information above and have provided MKP Waxing Salon, LLC with all notable information to the best of my knowledge.
MKP WAXING SALON, LLC
RELEASE & WAIVER OF LIABILITY
Physical condition/Assumption of Risk: All Salon services are offered under the understanding, assumption and agreement of Client that Client is in adequate physical shape and under no ailments or impairments to receive the services requested by Client. Notwithstanding the care taken by MKP Waxing Salon, LLC and its agent, employees, and independent contractors to avoid injury, Client understands that various procedures may cause rashes, redness, bruises, swelling, skin irritation, minor bleeding, temporary soreness, and infection, and may be impacted further by conditions of the procedures to be undertaken, along with all risk of any complications associated with preexisting health or medical conditions of the Client. Client acknowledges that Client has been warned of the potential dangers involved in such Salon services and Client undertakes such activities voluntarily, thereby assuming all risks involved.
Non-Medical Treatment. Client understands that Salon estheticians do not diagnose illness, disease, or other physical or mental disorders, or prescribe medical treatments or pharmaceuticals and that the services rendered in the Salon are not medical in nature and are not a substitute for diagnosis and treatment by a licensed medical professional.
Questionnaire. Client acknowledges and represents that the questionnaires and profiles required to be filled out will be used to determine if there are any known conflicts between the services to be received from the Salon and the Client’s known medical conditions. Client represents that such questionnaires and profiles are filled out accurately and understand the Salon may refuse service if the same is not completed.
Disclaimer of Liability: Client acknowledges that all Salon services involve a risk of injury, including in extreme rare cases resulting from severe allergic reactions or infections, the possibility of death, and Client undertakes such activities voluntarily thereby assuming all risks involved. Client assumes for him/ herself and his/her heirs, successors and assigns all liability for any injury (including disability and death) that he/she may incur as a result of Salon services, including those attributable to ordinary negligence of Salon. Salon shall have no liability whatsoever to any Client or Client’s heirs, successors or assigns, for any illness or injury (including an illness or injury which results in disability or death) arising out of or attributable to any Salon services. Client specifically agrees to hold Salon, its officers, managers, members, owners, agents, employees, independent contractors, representatives, and assigns, harmless for any loss to the person or property, sickness, injury, partial or permanent disability and death such that Client may sustain as a result of receiving Salon services.
Governing Law. This and each document required to be signed by any participant, and any dispute that arises, shall be governed by and construed in accordance with the laws of the State of Georgia. If any part of this waiver shall be determined to be invalid, the balance shall continue in full force and effect.
The undersigned states that he or she freely and voluntarily executes this Agreement and asserts that he or she understands all the terms used herein, and the consequences thereof. The undersigned acknowledges that this Agreement is binding upon the heirs, administrators, executors, successors and assigns of the undersigned.
CANCELLATIONS & NO-SHOW FEE POLICY AGREEMENT
Same Day Cancellation/rescheduling: If my appointment is canceled or rescheduled within 24 hours or less of my appointment time, I understand that I will be assessed a fee equal to 50% of the total cost of any and all services scheduled. If the card on file is declined, I understand that I cannot book another appointment until the fee has been paid.
No show fee: I acknowledge that if I do not call nor show up for my appointment, I will be charged a NO-SHOW FEE equal to 50% of the total cost of any and all services scheduled. If the card on file is declined, I understand that I cannot book another appointment until the fee has been paid. I am also aware that after two NO-SHOWS I will no longer be able to book an appointment without a 50% deposit on whichever service is being requested.
I acknowledge and agree to the terms of the same-day cancellations and the no-show policy stated above.