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New Client’s Consent Form

Please read thoroughly and consent to each box prior to your service.

New Client's Consent Form

I hereby request and consent to the performance of massage, skin care, body treatment, waxing, and related services by rA Organic Spa Inc. (“ rA Organic”) and its employees, or independent contractors.

rA Organic employees and independent contractors are hereafter referred to as “associates”.

There are medication and topical product contraindications with waxing. rA Organic does not recommend receiving any waxing service if you are currently taking any prescription medications or using topical products that make the skin more sensitive including, but not limited to:

  • Accutane (Acne medication) – You must be off this medication treatment course a minimum of one (1) year prior to waxing.

  • Differin Gel

  • Retin A/ Retinol

  • Glycolic Acid/ Alpha Hydroxy Acids

  • ProActive

  • Benzoyl Peroxide

  • Salicylic Acid/ Beta Hydroxy Acids

  • Antibiotics

I assume all health risks from any service received at rA Organic, including, but not limited to, any bodily injuries and adverse skin reactions. I release rA Organic from any liability resulting from any service received at rA Organic Spa. *

Thanks for submitting!

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