Application Forms needed for Jacksfeet Client & Student

On this page, you will find all Jacksfeet Forms

Fill in the relevant forms and submit it to Jac.

New Clients, please fill in the appropriate form
button for female forms
female Clients
Button to male client forms
Male Clients

Remember to fill in these important details. 1 Reason for your visit  2. Allergies you have.  3. Medication you are taking.  4. Medical  Condition or illnesses you suffer from. I will contact you before your treatment for a free phone consultation.  Consequently, this will cut down on consultation time, before treatment, giving more treatment and teaching time.

Colon treatment forms:
button for pretreatment forms
Pre-treatment form
button for post treatment forms
Post-treatment form

Submit your Pre-treatment form before your free consultation telephone call.  This will help us establish your needs, before treatment.  To form a conclusion submit Post-treatment form after a course of treatments.  This will give us insight into the success of the treatments and to review the plan for future treatments.

Bio Detox Application form

Bio detox client form

You must fill in this form prior to a Bio Detox treatment.  Some medical,  conditions carry a concerned warning for this treatment.  Because of this, I may have to refuse you receiving this treatment.  I offer many treatments that aid the body to detox, we can discuss what I can offer to you.  Fill out the form and I will contact you to make a free consultation phone call.

Waxing, Eyelash and Eyebrow Treatments:
Button to disclaimer forms
Eyelash, Eyebrow and waxing

Before I can carry out this treatment you must submit this form.  Firstly, its a disclaimer you’re giving your permission for a skin test and the treatment.  Secondly, it’s proof of a digital signature.  Thirdly you’re signing to say you take full responsibility should any reaction to tint, glue or wax should occur.


Student application form Household remedies

Remember at Jacksfeet we teach in small groups, 3 to 5 students at a time.  We can accommodate larger groups by prior arrangements. We can run our courses anywhere, and with enough warning anytime.  For example, courses can take place on a weekday or weekend.  Generally, I will try my hardest to accommodate you.  The prebooked courses obviously I can’t move from their dates because others have booked on them.


Student information form

Once you have registered on a course, the next thing to do is fill in

Storage of information

At Jacksfeet we use for taking bookings and for sending you information which is a secure site.  Incidentally, I do not store any personal, sensitive  information online

I keep all paperwork in a locked cabinet.  Store any computer-generated information on an external USB memory stick.  None of my devices connected to the internet has sensitive information stored on it.

For more information choose one of these  links

Button for therapies PricesButton for Jacksfeet TherapiesTraining at JacksfeetTraining PricesButton for

Book now
Click the link to Book at an Event or training

Other places you can find me, it’s important to keep in touch  Facebook  Instagram  Linked In  Twitter