Permanent Cosmetics Waitlist Form

Permanent Cosmetics Waitlist Form

I am so excited to work with you! Please fill out this form, and I will be in contact with you regarding availability. In the meantime, feel free to take a look at my information packet for additional details about the services (candidacy, prep & aftercare instructions, pricing, etc.).
Pricing Updates

Any appointments booked after June 1, 2023 will see a slight price increase as follows:

Eyebrows (Microblading, Powder, Combo): $500

Lip Blush: $500

Color Boost-Eyebrows or Lip Blush: $250

(Applies to Existing Clients Only)
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Which service are you interested in?

Eyebrows (Microblading, Powder Brows, Combo Brows)Lip BlushColor Boost (Eyebrows) *Only applies to previous clients.*Color Boost (Lip Blush) *Only applies to previous clients.*
Have you ever had this service done before?

YesNo
If yes, how long ago did you have your last touch up?
Do any of the following apply to you?

Blood ThinnersHeart ConditionAutoimmune DiseaseDiabetesPregnantBreastfeedingProne to Cold SoresKeloid Scarring
Please include a photo of your bare brows or lips in good, natural lighting.*

Cancelof
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Additional Comments/Questions:
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