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The policies.
Workshops.
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The artists.
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Lashes + Brows
Body Sugaring + Waxing
Hands + Feet
Facials | Cosmetic Treatments | Body Contouring
Back
LASHES + BROWS
BODY SUGARING + SKIN CARE
HANDS + FEET + GEL NAILS
Body Contouring Intake + Registration
Back
THE BABE CAVE
THE LASH ROOM
Because COVID-19
Privacy
Back
Classic Lash Extensions
Lash Lift Workshop
Home
What's poppin'.
The artists.
The artists.
The services.
Lashes + Brows
Body Sugaring + Waxing
Hands + Feet
Facials | Cosmetic Treatments | Body Contouring
Client registration.
LASHES + BROWS
BODY SUGARING + SKIN CARE
HANDS + FEET + GEL NAILS
Body Contouring Intake + Registration
The policies.
THE BABE CAVE
THE LASH ROOM
Because COVID-19
Privacy
Workshops.
Classic Lash Extensions
Lash Lift Workshop
Contact us.
Subscribe.
Book now
CLIENT REGISTRATION : BODY SUGARING + WAXING + skin care
PERSONAL CONTACT INFO
*
First Name
Last Name
Date of Birth
*
MM
DD
YYYY
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Email
*
Would you like to be added to our Email list re: news, updates + special offers?
*
Yes
No
SKIN CARE HISTORY
Have you had hair removal service before? (Check all that apply.)
*
Sugaring
Waxing
Electrolysis
Laser hair removal
None
List ALL products you are currently using on your face + body.
*
Cleansers, toners, moisturizers, lotions or creams, oils, ointments, etc.
Do any of the above products contain Retinol, Retin-A, AHA, or any other anti-aging/skin thinning/exfoliating ingredients?
*
No
Yes
If so, please provide details:
Do you tan?
*
Tanning bed/booth or spray tan.
No
Yes
MEDICAL HISTORY
When was your last menstrual cycle?
Dudes - skip this part!
MM
DD
YYYY
Are you pregnant or breast feeding?
Dudes - skip this too!
No
Yes
Do you have any known allergies or sensitivities?
*
(Latex, cosmetics, products, etc.)
No
Yes
If so, please list:
*
Have you had any recent surgeries?
*
(In the last 6 months.)
No
Yes
If so, please provide details.
*
Do you have any other medical conditions we should know about?
*
(Asthma, hypertension, diabetes, arthritis, etc.)
No
Yes
If so, please provide details:
*
Have you had any recent skin treatments?
*
(Laser, chemical peels, microdermabrasion, etc.)
No
Yes
If so, please provide details.
*
Do you have any skin conditions?
*
(Eczema, acne, rosacea, psoriasis, etc.)
No
Yes
If so, please provide details.
*
Are you taking any medications and/or supplements?
*
(Topical or oral, cortisone, Accutane, birth control, etc.)
No
Yes
If so, please provide details.
*
REFERRAL
How did you hear about us?
*
Social media (IG/FB)
Google search
Family/friend
If you were referred to us by a friend or family member, please provide their full name - we'd love to extend our gratitude!
CONSENT
Waiver
*
I have read and completed this form in its entirety and in truth. I agree to follow the care and maintenance instructions provided by my technician. I understand that any follow up care due to my own negligence, or failure to follow care instructions will be at my own expense and risk. I agree that by reading and signing this consent, I release THE BABE CAVE and it’s technicians from any claims or damages of any nature, including any skin complications due to allergic reactions. I understand that I have requested and agreed to have body sugaring or waxing services at THE BABE CAVE, and a trained professional will perform the service(s) to it's highest standard. If I experience an allergic reaction to any of the products used, I agree to advise my technician at THE BABE CAVE and contact my family doctor, and I understand that a refund will not be provided for the original service.
I AGREE
I DISAGREE
Your Signature
*
I authorize the trained and certified professional(s) of THE BABE CAVE at 155 Provencher Blvd, Winnipeg, Manitoba to perform my requested body sugaring and/or waxing services. A thorough explanation of the procedure, care and maintenance, and any procedural complications will be discussed with me. I will also be provided with and agree to follow aftercare instructions. By filling in your name below (your electronic signature), you verify that you have read, understand and agree to the above terms.
First Name
Last Name
APPOINTMENT DETAILS
Body sugaring service(s) requested
*
Please select all that apply.
Face
Underarms
Arms
Chest
Stomach
Back
Legs
Bikini
Bikini G
Bumkini
Brazilian / BROzilian
Service Provider:
Please advise who you booked your appointment with.
Terra
Jeddah
Date of Appointment
*
MM
DD
YYYY
COVID-19 SCREENING
This is a preliminary screening. You will need to use the Shared Health MB online COVID-19 screening tool on the day of your appointment prior to coming in. We have provided a direct link to it in the footer of our website.
Do you or anyone you have been in contact with have any of the following symptoms: severe difficulty breathing (e.g., struggling for each breath, speaking in single words), chest pain, confusion, extreme drowsiness or loss of consciousness?
*
No
Yes
Do you have shortness of breath at rest or difficulty breathing when lying down?
*
No
Yes
Do you have a new onset of any of the following symptoms: fever/chills, cough, sore throat/hoarse voice, shortness of breath, loss of taste or smell, vomiting, or diarrhea for more than 24 hours?
*
No
Yes
Have you been in contact in the last 14 days with someone that is confirmed to have COVID-19?
*
No
Yes
Have you been in a setting in the last 14 days that has been identified by public health as a risk for acquiring COVID-19, such as on a flight, in a workplace with a cluster of cases, or at an event?
*
No
Yes
Have you travelled outside of Manitoba in the last 14 days, excluding personal travel to border communities?
*
No
Yes
Do you have a chronic health condition that you are concerned about?
*
No
Yes
Do you have a new onset of 2 or more of any of the following symptoms: runny nose, muscle aches, fatigue, conjunctivitis (pink eye), headache, skin rash of unknown cause or nausea or loss of appetite?
*
No
Yes
If your answer was 'yes' to any of the above, please contact Health Links-Info Santé in Winnipeg at 204-788-8200; toll free elsewhere in Manitoba 1-888-315-9257, and cancel your appointment.
*
You may reschedule your appointment on the advice of Health Links and/or your family doctor. By checking the box below, you verify that you have completed the COVID-19 screening questionnaire in its entirety and in truth.
I HAVE READ + COMPLETED THE COVID-19 SCREENING QUESTIONS ABOVE IN ITS ENTIRETY + IN TRUTH.
Thank you!
