Babe Brow Club-Client Info
  • Address: *
    Phone: *  
    Birthdate: *   

    I, *, am over the age of 18, I am not under the influence of drugs or alcohol and desire to have microshading-permanent makeup for the eyebrows performed. The general nature of cosmetic tattooing as well as the specific procedure to be performed has been explained to me   * (initial)

  • .The nature and method of the proposed cosmetic tattoo procedure(s) has been explained to me by Lindsay (BabeBrowClub) including the usual risks inherent in the procedure process, and the possibility of complications during and following the procedure(s). I understand there may be a certain amount of discomfort or pain associated with the procedure(s) and that other adverse side effects may include minor and temporary bleeding, bruising, swelling, and/or redness or other discolorations. Fading or loss of pigment may occur. Unevenness in design may occur due to swelling. Secondary infection in the area of the procedure may occur, however, if all after-care instructions (that are provided) are followed, is rare. *(initial)

  • . I have informed Lindsay (BabeBrowClub) of any and all health problems and acknowledge that complications including infection are always possible as a result of a cosmetic tattoo procedure(s), particularly in the event my post-procedural instructions are not followed.
    * (initial)

  • . I acknowledge that it is not reasonably possible to determine whether I might have an allergic reaction to any of the pigments, dyes, topical preparations, or processes used in the procedure; and I agree to accept the risks that such a reaction although rare, is possible. I have informed Lindsay BabeBrowClub, of any existing problems.
    * (initial)

  • . Notice tattoo inks, dyes, and pigments have not been approved by the Federal Food and Drug Administration and the health consequences of using these products are unknown
    * (initial)

  • . It has been explained to me that immediately after the procedure(s) is completed, the color will appear dark and the design will appear to be thicker. It has also been explained to me that within a short period of time (usually 5-7 days) during the healing process the color will lighten/soften and the design/procedure will heal thinner than it looked the day it was performed.
    * (initial)

  • . I acknowledge that hyper-pigmentation (darkening of the skin) or hypo-pigmentation (absence of color in the skin), or scarring is a possibility as a result of my body’s reaction to the skin being broken during the procedure. I realize that my body is unique and that Lindsay (BabeBrowClub), cannot predict how my body will react as a result of this procedure.
    *(initial)

  • . Lipblush Only- I acknowledge that there is a risk of cold sore flare-up if I've had cold sores in the past. It has been recommended to me by Lindsay (BabeBrowClub) that I consult with a doctor to obtain an anti-viral medication prior to any lip procedure as a preventative.
    (initial)

  • . I acknowledge that the procedure(s) will result in a permanent change to my appearance and that no representations have been made to me as to the ability to later change or remove the results. Tattoo removal is a surgical procedure that may cause scarring and/or disfigurement.
    * (initial)

  • . I understand that tattoos may cause MRI (Magnetic Response Imaging) artifacts and that is a 1% to 2% chance of a reaction. Within that 1 to 2% for almost all there will be a warming and/or tingling sensation in the tattooed area from the MRI due to the iron oxide properties of some pigments. It is understood that I should advise my physician that I do have permanent cosmetics (a tattoo) in the event an MRI procedure is prescribed.
    * (initial)

  • . I authorize Lindsay (BabeBrowClub) to obtain pre-procedural and post-procedural pictures and give her permission to use such pictures for publication and/or teaching purposes, as she chooses.
    * (initial)

  • . I acknowledge that following the written instructions advising me of the proper aftercare of my procedure(s) by (BabeBrowClub), Lindsay is crucial for well-healed results. I understand the absolute necessity for following these instructions and will use aftercare properly.
    * (initial)

  • . I understand that cosmetic tattooing is an art form and NOT an exact science, and I acknowledge that NO guarantees have been made to me as to the result of this procedure. Some skin types will not accept or heal pigment in a consistent manner...your skin and how well you take care of your procedure(s) will determine your result. I realize that my body and my skin is unique and that (BabeBrowClub) Lindsay cannot in any way predict how your skin may react to the procedure or how it may or may not accept color. I also realize that (BabeBrowClub) Lindsay cannot predict how many visits it will take to complete my procedure.
    * (initial)

  • . The fee for the cosmetic tattoo procedure(s) have been explained to me, including the initial procedure fee, touch-up fees and maintenance fees. These fees are understood and agreed upon. I understand the total fee for services rendered is due upon completion of the initial procedure and that there WILL BE separate fees for any touch-up/follow-up work. * (initial)

  • . I understand that (BabeBrowClub) Lindsay DOES NOT include a free touch-up appointment(s) in the initial procedure price. All touch-up/follow-up appointments ARE a separate fee. A “follow-up” appointment is often needed to complete, adjust, or fine-tune the initial procedure or a maintenance procedure. All “basic” follow-up appointments will be charged a $150 set up (touch-up) fee and this fee is subject to change. After one full year of initial procedure date, maintenance fees will apply.
    * (initial)

  • . I accept full responsibility for determining the color, shape and position of the pigments that will be applied. I understand the actual healed color of the pigment applied will be modified slightly due to my own unique skin undertones.
    * (initial)

  • . I understand that future laser treatments, plastic surgery, implants, injections, and other skin-altering procedures may alter and degrade my cosmetic tattoo procedure(s). I further understand that such changes are NOT the responsibility of BabeBrowClub-Lindsay, and such changes in my appearance may NOT be correctable through further cosmetic tattoo procedures.
    * (initial)

  • . Due to the fact your approval is obtained prior to final selection of color to be implanted and design application(s), that all the facts about cosmetic tattooing have either been disclosed or discussed with you, and that you have been given full opportunity to have any and all questions answered, BabeBrowClub-Lindsay employs a NO REFUND policy.
    * (initial)

  • . (BabeBrowClub) Lindsay has the right to refuse service to anyone at any time for any reason.
    * (initial)

  • . This contract is to remain in effect for as long as I remain a client of (Babe Brow Club) Lindsay and all its contents apply whenever work is being performed on myself by (BabeBrowClub) Lindsay. It is my responsibility to inform (BabeBrowClub) Lindsay if any changes have occurred in my medical history.
    * (initial)

  • . Due to safety and the risk of cross-contamination we have a strict NO GUEST POLICY during appointments. Please make arrangements ahead of time if needed * (initial)

  • . I have read and understand the contents of each paragraph above. I have received no unrealistic warranties or guarantees with respect to the benefits to be realized from, or consequences of the aforementioned procedure(s).
    * (initial)

  • I acknowledge by signing this consent form, have been given the full opportunity to ask any and all questions about cosmetic tattooing procedure(s), it’s process, and the risks involved from BabeBrowClub-Lindsay. The decision to have cosmetic tattooing procedure(s) performed is my own and I understand and accept all risks involved, therefore releasing Lindsay Mitchell-Garrison (BabeBrowClub) of any and all legal liability. Lindsay Mitchell-Garrison is an artist, a highly trained, experienced and skilled artist and makes no claims to be anything more. Permanent makeup/cosmetic tattooing is not a medical procedure but an art form, the art of tattooing. NO REFUNDS....NO EXCEPTIONS.

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