MYPERFECTBROWS PLANO QUESTIONAIRE

GENERAL LIABILITY WAIVER

To ensure the safety of all guests and our team.
Just complete this form and come in.

WE ARE CURRENTLY OPERATING BY WALK-IN ONLY FOR THREADING
FORM MUST BE COMPLETED PRIOR TO SERVICE

*MASKS ARE REQUIRED FOR SELECT SERVICES **MASKS ARE AVAILABLE (IF NEEDED)
Name *

First Name Last Name
Phone Number *
Email *
example@example.com
Select service(s) below. *

*Brow Threading Brow Waxing Upper Lip Threading Upper Lip Waxing Side Threading Side Waxing *Face Threading Face Waxing Lash Lift Lash Extensions *Henna Brows / Tinting Brazilian Wax Underarm Wax Leg / Arm Wax Full Body Wax *Microblading Facial Services
WE ARE DOING OUR PART TO HELP STOP THE SPREAD OF THIS VIRUS. WE FOLLOW ALL RECOMENDATIONS AND ADHERE TO ALL STANDARDS AND GUIDELINES PROVIDED BY THE STATE OF TEXAS

WE ENCOURGE YOU TO WASH YOUR HANDS BEFORE AND AFTER YOUR VISIT.
Are you experiencing any of the following symptoms? *

FEVER COUGH SHORTNESS OF BREATH CHEST OR BODY PAINS NONE
Have you been in contact, infected, suspected, or diagnosed with Covid-19? *

YES NO
Signature *

Clear
visit: www.myperfectbrows.com for additional information or questions.
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GENERAL LIABILITY WAIVER