Brow Booking Request Form

1
Name* This field is required.
First Name
Last Name
2
Phone Number* This field is required.
Please enter a valid phone number.
3
Age* This field is required.I only tattoo 18 and older and a valid state ID will be required when you arrive for your appointment
4
Email* This field is required.
example@example.com
5
Are you pregnant or nursing* This field is required.
YESNO
6
Are you on any blood thinners, Retin-a/Retinol, heart or diabetic medication? * This field is required.
YESNO
7
Are you prone to hypertrophic scarring or keloids? * This field is required.
YESNO
8
File Upload* This field is required.Brow area photo
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Please include a photo of your brows close up with no makeup on
Cancelof
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What type of service are you interested in? * This field is required.
Microblading( $400)best for dry to normal tzone. Individual strokes mimicking natural hairs. NOT recommended for those with oily skin or large pores
Powderbrow($400)works for all skin types. Mimicking a more filled in makeup applied brow look
Combo-brow (450) best for dry to normal tzone. Natural strokes with a more structured filled in peak and tail.
Annual touchup ($120) for those who originally got their brows done by me and are ready for their annual/biannual refresh
Choose one
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Have you had previous permanent makeup on the area we will be working? * This field is required.
YESNO
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Have you read through the brow service information on the website? * This field is required.You must read the information for permanent makeup prior to booking. If you haven’t you can find it at www.Elysiumtattoova.com under the “brow” tab
YESNO
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A deposit of $100 is required for booking of a pmu brow appointment or $50 if you've previously had brow work by me and are due for the annual/biannual touchup. The deposit goes to hold your spot and comes off the cost of the appointment as long as you arrive on time. The deposit is non-refundable and if you arrive late, no-call no-show, or cancel/reschedule with less than 48 hours notice your deposit is surrendered to the artist for their time. Deposits are taken via Venmo once you're contacted back for your appointment booking. It is recommended if you do not already have Venmo set up that you do so now as if it isn't ready when we move to book, the artist will move to the next person in line so as to make booking smoother and faster.
please be sure that if any conditions exist in the website information that require a doctors clearance that you arrive with a copy of the doctors written approval to your appointment.

brow service information is available at www.Elysiumtattoova.com
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Are there any questions or information you’d like to provide that wasn’t covered above?
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