Brow Lamination & Tint Information and Waiver Form

Name

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Service

Have you had reaction to previous brow lamination or lash lift?

Do you have sensitive skin?

Have you had microblading or any semi-permanent brow procedure in the last 2 months?

Are you taking any skin medication orally or topically (i.e. accutane, trentinoin)?

Are you currently applying any anti aging products with AHA, BHA, or Retinols?

Are you pregnant or currently breastfeeding?

Do you have a wound, scar tissue or blemish in the area to be treated?

I hereby declare and acknowledge that: I am at least 18 years of age and not under the influence of alcohol or drugs, or anything that might impair my ability to execute this waiver. I also understand that this is a binding agreement. I understand that this Agreement is binding and that I must read and fully understand all information above. I have read and fully understand the brow lamination and tint client consent form in its entirety and have answered everything to the best of my ability. I have not misrepresented myself, nor have I withheld any medical information, surgical state, or condition. I confirm and agree that I wish to engage the services of Sula Haus to perform the brow lamination procedure on myself.

Signature