top of page

Pure Skin & Body

Beauty Boutique

Home
About
- FAQ
Book Now
More...

Use tab to navigate through the menu items.

Consent Forms

Facial consent & release form

First Name

Last Name

Email

Skin allergies or sensitivies:

Skin goals or concerns:

Have you been on antibiotics within the last 7-10 days?

Yes

No

When was the last timeyou had a facial?

4-6 weeks ago

3-4 months ago

6 or more momths ago

Never, this will be my first time!

I hereby give my consent to have a facial by the licensed esthetician

Thanks for submitting!

© Copyright by Pure Skin and Body

bottom of page