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NAIL STYLING AND CARE SERVICE

CLIENT INFORMATION AND CONSENT FORM

+91 98773 54343

info.nailsera@gmail.com

@nails_era9

Nails Era on Facebook

Personal Information

Full Name

Date

Address

Contact Phone

Email Address

Medical Screening

Have you ever experienced allergic reaction or irritation from any type of nail or skin product? Yes No

Please check any of the following medical or skin conditions

Allergies Diabetes Skin Irritation Skin Inflammation Arthritis

Blood Borne Disease Broken Skin Hemophilia Recent Surgery Swelling

Athlete's Foot Calluses Nail Infection Corns Others

General Questions

Is this your first manicure / pedicure? Yes No

Do you take part in any hands-on hobbies or sports activities? Yes No

If yes, please specify

Select nail services

Temporary Nail Extensions Acrylic Extensions Gel Extensions Refilling nail art Gel Polish on Natural Nails Press-On Nails Nail Removal

Ombre Art Chrome Design French Design Glitter Design

Hair Spa Hair Wash Head Massage Facial Threading Full Body Wax Manicure Pedicure

Other service

I understand that nail and beauty services will be performed by trained professionals and I will follow all aftercare advice given by the studio. I release the studio and its staff from liability for allergic reactions or complications arising from undisclosed medical conditions or failure to follow aftercare instructions. I agree that once the service is completed and I leave the studio, the work is considered final; concerns within one hour of completion will be reviewed at the studio’s discretion. I declare that all information provided on this form is true and complete to the best of my knowledge.

Client's Signature

Attendant's Signature

Address

Nails Era, Kathar

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