New Brow Client

New Brow Client

Please note that this form is for NEW CLIENTS ONLY. Returning clients have one on file already.
Full Name

First NameLast Name
Phone Number
Please enter a valid phone numberFormat: (000) 000-0000.
Email
Birthdate

MonthDayYear
2 digit month, 2 digit day, 4 digit yearTo verify age
Is this your first time getting your brows waxed?
Is this your first time getting your brows tinted + laminated? (Only answer if this is the service you’re booking.)
What is your current skin type?
Do you have sensitive skin?
Do you give The Blink Brow Bar consent to take before and after photos/videos? They will be strictly used for marketing, promoting our services on our social media, educational purposes, and allowing to build a portfolio.
Although it is impossible to list every potential risk and complication it is important to understand the main risks.

We ensure that every precaution will be made to consider your safety before, during and after your brow treatment.

Please carefully read the following below and initial to confirm you have read and understood.
Brow waxing and lamination is NOT recommended if any of the following apply to you:

• Accutane (You absolutely MUST be off this medication for atleast 12 months prior)

• Retinol, AHA, BHA, etc. (Must stop using 2 weeks prior)

• Psoriasis/severe eczema

• Alopecia

• Sunburn

• Recent permanent makeup (Must be healed over 8 weeks)

• Cuts, abrasions, inflammation or swelling in or around the brow area

• Recent scar tissue in or around the brow area

• Cancer (the brows need some extra TLC and babying during chemo and the recovery stage)

• Blood thinners

• Pink eye

• Pregnant or Breastfeeding (NOT a contraindication however due to the hormonal changes during pregnancy there is a higher chance of skin lifting and brow solutions to be less effective)
I have read and understood the above contraindications and agree that none of the above apply to me.
initial
I understand and agree that in some cases brow treatments have some inherent risk or irritation to the skin.
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I understand and agree that in some cases the skin can lift when waxed due to sensitive and or irritated skin.
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I understand that brow lamination can cause irritation such as tingling or a burning sensation during the treatment. I agree that I will notify my specialist right away if this occurs.
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I understand and agree that The Blink Brow Bar is not liable for any allergic reactions and I will seek a medical professional if this arises.
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I understand and agree that the longevity of this treatment is dependent on my skin, hair growth and the AFTERCARE I am to abide by.
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The Blink Brow Bar Policies

Cancellations: The Blink Brow Bar requires 24 hours notice for any cancellation. Any cancellation made with less than 24 hours notice will result in a charge equal to 50% of the reserved service amount.

No Shows: No show appointments will result in a charge equal to 100% of the reserved service amount. A second time no show will not be allowed to book any future appointments at The Blink Brow Bar.

Running Late: The Blink Brow Bar has a 10 minute grace period. If you are more than 10 minutes late you will need to reschedule. Last minute cancellations due to tardiness and giving the service provider insufficient time to complete the appointment will result in a fee of 50% of the service amount.

Home Based: The Blink Brow Bar is located in Reunion CO. After booking an appointment, 72 hours before your scheduled appointment a confirmation text will be sent to you. Once confirmed I will send you the address.

No Plus 1s: No extra guests! This also includes children, family, and furry ones. This will ensure a safe and relaxing appointment for everyone.
By signing below I agree to the following:

I have completed this form truthfully to the best of my knowledge. I agree to inform my Esthetician of any changes in any of the above information and that I do not have any condition(s) that would make the requested treatment unsuitable for me. I will inform my technician of any discomfort I may experience at any time during my treatment to allow them to adjust accordingly. I agree to waive all liability towards The Blink Brow Bar for any injury incurred due to misrepresentation of my health.

By booking an appointment at The Blink Brow Bar you are agreeing to our policies listed above, on our booking website and social media pages. This agreement will remain in effect for this treatment and all future treatments at The Blink Brow Bar.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Signature
Should be Empty: