APPOINTMENT REQUEST FORM

Full Name*

First NameLast Name

Phone*

Area CodePhone Number

E-mail*

What's the best form of contact for you?

EmailText message

What days work best for you?*

What time works best for you?*

MorningAfternoonEvening

What services are you interesting in?

What skin type do you have?

NormalDryCombo (oily in T-zone)

Are you pregnant and or breast feeding?

YesNo

Are you currently taking any blood thinners?

YesNo

Do you currently use any of the following skin care products?

Have you had previous permanent make up?

YesNo

If you answered YES to the above question, how long ago?

1 year ago1-2 years agoOver 2 years agoNone of the above

If you have had previous permanent make up, please upload a face forward picture of your brows with NO make up on, in natural lighting.

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Please read carefully and check all that apply

I certify that I have read this form carefully and understood what is being asked of me.I certify that I have read Cosmeticsbyshey.com studio polices.I understand that Cosmetics by Shey takes cover ups on a case by case basis and if request is approved I am subjected to new client prices.I understand that a $100 deposit is required to book my appointment in order to hold my date and time.I understand that if I cancel my appointment with in 48hrs of my appointment day and time that I am subjected to half of my service fee.I understand that if I reschedule my appointment with in 48hrs of my appointment day and time that I am subjected to a $75 rescheduling fee

Signature

New client appointment request