CLIENT CONSENT FORM

CLIENT BROW WAIVER

Specialty brow services with professional artist Gabrielle Vega.
Clients Name*
Birth Date*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
What service did you book with brow specialist Gabrielle Vega?*

Brow ShapingShaping + StainLaminationLamination + ShapingLamination + Shaping + Stain
Pre-care Information.

Failure to follow instructions prior to appointment can possibly affect outcome of service.
Discontinue any form of tweezing, waxing, trimming, shaving and threading 3-4 weeks before appointment. Brow must have 3+ weeks of growth, altering the brows in any way before scheduled service will not achieve expected results. Discontinue the following skincare products 10-14 days before scheduled appointment. Retinol, Tretinoin, AHA, BHA, chemical exfoliants, salicylic acid, benzoyl peroxide, and any forms of aggressive skincare ingredients that may make your skin ultra sensitive. Discontinue excessive sun exposure 7 days before scheduled appointment.*

I am aware of pre-care instructions.
Please Tick Any Of The Following That May Apply

Previous skin reaction experienced to the same or similar service in the past.Recently trimmed, tweezed, threaded, or waxed brows 14 days prior to appointment.Currently prescribed to accutane.Currently using any form of retinol.Currently using any form of tretinoin.Currently using skincare with benzoyl peroxide.Currently using skincare with salicylic acid.Currently using skincare with beta hydroxy acid (BHA) or alpha hydroxy acid (AHA).Currently using skincare with glycolic acid.Hyper sensitive skin: reactive to waxing or chemical treatments (lamination).Pregnant or Lactating.Currently using any form of differin gel.
If ANY boxes are checked above please read below :
By checking this box I understand the chances of skin sensitivity and poor results may be likely due to not following proper pre-care instructions. I understand if pregnant or breast feeding lamination is suggested to be cleared by your Dr. or medical provider. By not discontinuing active skin care ingredients clients skin may "lift". Lifting of the skin is when a small layer of skin is overly exfoliated due to brow wax, healing time of 7 days will be expected. Provider is not responsible for any skin irritation.

I agree
Cancellation/Reschedule Policy

Appointments can only be rescheduled/canceled within 24 hours of the appointment time. In the event of a last minute cancellation you will be charged 100% of the service total. Failure to pay cancellation fee will result in client no longer having access to book with licensed service provider.
No Call/ No Show Policy

No call/ No shows are required to pay 100% of the appointment cost. No exceptions. Clients who fail to pay fee will no longer be able to book with licensed service provider.
Agreement:

I understand the contents of this form and take full responsibility for my actions thus absolving all other parties of their responsibilities, if any, associated with the supply of the products and service(s). I request and consent to these procedures being carried out today without undergoing a sensitivity patch test. The sensitivity patch test, which if conducted may indicate my sensitivity / allergy to the products. I agree to all contents stated under the cancellation, reschedule and no call/no show policy.
Signature*
Should be Empty:

CLIENT BROW WAIVER

Pre-care Information.

Cancellation/Reschedule Policy

No Call/ No Show Policy