Car Wash Allergy/Sensitive Materials Form
Customer Name
Email Address
Phone Number
Car Make & Model
I have the following allergies or sensitivities:
Fragrances/Scents
Latex
Pollen
Soap/Detergents
Other
If Other, please specify
Please describe your allergies or sensitivities in detail
Preferred cleaning products/materials to avoid:
Additional instructions or notes for staff: