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 am not allergic to any of the following ingredients,
Perming Solution
Aqua, Ethanolamine Thioglycolate, Cetearyl Alcohol, Ammonium Thioglycolate, Propylene Glycol, PEG-7 Glyceryl Cocoate, Sodium Lauryl Sulfate, Ceteareth-20, Ethanolamine, Parfum, Alpha-Isomethy Ionone, Citronellol, Hexyl Cinnamal, Limonene, Linalool
Fixing Solution
Aqua, Cetearyl Alcohol, Hydrogen Peroxide, Peg-7 Glyceryl Cocoate, Sodium Lauryl Sulfate, Phosphoric Acid, Parfum, Acetaminophen, Hexyl Cinnamal, Linalool
Keratin Nourish
Aqua (Water), C12-20 Acid Peg-8 Ester, Glycerin, Cetyl Alcohol, Argania Spinosa Oil (Argania Spinosa Kernel Oil), Caprylic/ Capric Triglyceride, Ricinus Communis Oil (Ricinus Communis (Castor) Seed Oil), Simmondsia Chinensis Oil (Simmondsia Chinensis (Jojoba) Seed Oil), Soluble Collagen, Panthenol, Tocopheryl Acetate, Hydrolyzed Keratin (Hydrolyzed Keratin), Hydrolyzed Silk, Phenoxyethanol, Imidazolidinyl Urea, Propylene Glycol, Tetrasodium Glutamate Diacetate, Ethylhexylglycerin, Cetrimonium Chloride, Citric Acid
Brow Adhesive
Pvp/va Copolymer, Isopropyl Alcohol, Soluble Collagen, Aqua (water), Propylene Glycol, Hydrolyzed Silk
Brow Tint & Developer
Aqua, Ceteary Alcohol, Glyceryl Stearate SE, Oleamide
DEA, p-Phenylenediamine, m-Aminophenol, Sodium Ceteary| Sulfate,
Helianthus Annuus Seed Oil, Ammonium Hydroxide, Resorcinol, Lanolin,
Parfum, Sodium Sulfite, p-Aminophenol, Limonene, Buty|phenyl
Methylpropional, Linalool, Citral, Geraniol
Agua (Water), Hydrogen
Peroxide, Cetearyl Alcohol,
Paraffinum Liquidum
(Mineral Oil), Sodium Laur
Sulfate, Sodium Salicylate,
Citric Acid
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 and 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 Brows by Q to perform the brow lamination procedure on myself.