Beauty Salon Allergy Waiver Form

Record a client's known allergies and their acknowledgment of the risks before performing a salon service.

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Full Name

First Name

Last Name

Date of Birth

Phone Number

Email

Do you have any known allergies or sensitivities?

Yes No

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?

Yes No

If yes, please describe the reaction and the products or procedures involved:

Waiver Statement

Signature

Sign here

Date Signed

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