Client Safety Form » Shalu's Salon

Fill out only once. Not every appointment.

Name *

First

Last

Email *

Phone

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Are you 16 years old? *

Date of Birth *

Gender *

Would you like to be informed about our latest offers by email? *

Do you give us permission for your photos to be taken and used on our website and social media? *

You had any reactions during or after your past services? *

Are you Pregnant? *

If yes, cold laser treatment will not be performed on you.

Are you diagnosed with Epilepsy? *

If yes, cold laser treatment will not be performed on you.

Do you have a Pacemaker? *

If yes, cold laser treatment will not be performed on you.

Are you on any medication that may affect the sensitivity of your skin? *

Do you take any medications? *

Terms *

I agree with Shalu's Salon Terms and Conditions. View Terms

Signature *

Clear Signature

Signature Date *

Abbotsford Salon with Certified Laser Tech and Beauty Therapist with over 25 years of experience. Threading, Facial, Waxing, Laser, Haircuts, Tint and more.

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