Brow/Lash Intake Form

Name

First NameLast Name

Birthday

Date

Phone Number

Area CodePhone Number

Email

example@example.com

Instagram Handle (Please follow us at @lashbeautylounge) for special discounts and promos...

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please answer the following questions by marking YES or NO.

	YES	NO
Have you used any Alpha Hydroxy Acid (AHA) or glycolic products in the past 48-72 hours?
Are you using Retin-a, Renova or Accutane (an oral form of Retin-a)?
Are you using any other skin or blood thinning products and/or prescription?
Are you exposed to the sun on a daily basis or are you considering spending more time in the sun soon?
Do you use a tanning bed?
Are you diabetic?
Did you know you should avoid hair removal two days before your cycle is due and two days after it is completed? (Female Clients - Always allow five days for menstrual cycle. Because of water retention and for your own personal)
Have you ever used hair color before?
Have you ever had an allergic reaction to hair color?
Do you wear contacts?
Have you ever had your brows or lashes tinted?

If you had an adverse reaction to a previous tinting, please explain:

List any allergies you have:

List history of eye disease, infection or irritation (i.e. pink eye, scratched cornea, dry eye...)

List any health conditions(i.e. cancer, alopecia, non-function tear ducts, diabetes, or thyroid...)

List medications and cleansers used daily (i.e. Retin-a, Accutane & Acne medications...)

What color is your brow hair?

Brow/Lash Lift & Tinting Information and Agreement

Although every precaution will be made to ensure your safety and well-being before, during and after your waxing/tinting application, please be aware of the possible risks below.

I understand that tinting lashes or brows has some inherent risk of irritation to the orbital eye area, including the eye itself, and could result in stinging or burning, blurry vision and potentially blindness should the tint enter into the eye.
I understand that if the waxing/tinting agent, developer, or mixture of both accidentally comes into contact with my eye, my eye will be flushed with water and medical attention may be required.
I understand that some irritation, itching or burning may occur to the skin which comes in contact with the waxing/tinting agent.
I understand that there may be some residual dark staining left on the skin following the tinting process of either my lashes, brows or both. This will fade and go away within a short time.
I understand that, while every attempt will be made to provide me with my chosen color, everyone’s hair absorbs color differently and my final results may not be the color I initially wanted.
I understand that over the course of several weeks, the tint will gradually lighten and fade. Re-tinting will be required to keep the new color fresh. Most clients need to re-tint every 3-4 weeks.
I understand that over the course of several weeks, the lift in my lashes will gradually reshape to its original form. A new lifting service will be required to keep the curl fresh. Most clients need to re-lift every 6-8 weeks.

I have read the above information and if I have any concerns, I will address these with my service provider. In the event, that I may have additional questions or concerns regarding my treatment or suggested home product / post-treatment care, I will consult my service provider immediately.
If I have any changes to my health conditions or products being used I will inform my service provider.
I certify that I have read, and fully understand the above paragraphs and that I have had sufficient opportunity for discussion to have any questions answered. I understand the procedure and accept the risks.

CANCELLATION POLICY

When booking an appointment we require our guests to have a card on file to follow our cancellation policy.

What is our cancellation policy?

When booking an appointment we require our guests to have a card on file to follow our cancellation policy.

FOR FREE CANCELLATION/RESCHEDULE please contact us 24 hours prior to your appointment.

Why do we have a cancellation policy?

An effective cancellation policy is an important piece of any appointment-based business. At LBL we a lot a certain amount of time per service to achieve the procedure you are selecting to have done. So please make sure you are on time and ready to get beautified by our talented team.

No Call No Show

New Sets - 50%
Fills and Facials - 60%
Brows - $15

Same Day Cancellation

New Sets - $35
Fills - $25
Brows - $15

PAYMENT INFO

We accept Cash, Check and credit card. We do not accept tip on card.
Loyalty cards provided when paying cash for services over $40.
There will be a 3.5% Non-cash adjustment to all Debit/Credit Card transactions.
Recommended tipping for your technician- Cash, Venmo available

NO REFUND POLICY

Our stylists take much pride in the services they provide. You are paying for your technicians time, product and other expenses used to provide you with a service. No refunds will be given for any reason on services. Please noticy us of any questions or concerns within the first 72 hours of your service.

LATE POLICY

If you are running late to an appointment we ask that you call us to let us know, otherwise we will assume you will not be showing up and may release the appointment. If you are less than 15 minutes late we will try our best to make your lashes as full as possible in the time allotted. You will still be charged full price. If you are more than 15 minutes late it will result in a No Show Fee, please remember that you are reserving a time with us for a service if you do not come we are unable to make up for that lost time.

NO GUEST POLICY

Please do not bring extra people to your appointment. The salon is a cozy space and can only accommodate scheduled clients.

No children are permitted in the salon studio unless being serviced.

SERVICE FEE est. 2019

There is a $5 service fee added to each transaction. This fee was established to be able to keep up with our quality products and the rise of inflation. This $5 is established seperatley to ensure it goes directly towards salon products and is not a part of our stylists commision.

Signature

This agreement will remain in effect for this procedure and all future follow-ups. I understand that this consent agreement is legal and binding. I have read and fully understand all information in this agreement. I am over 18 years of age and consent to the agreement and to the lash lift/tint and/or brow tint procedure.

Signature

Lash Length

ShortMediumLong

Lash Fullness

ThinMediumThickCourse

Lash Color

BlondeRedBrownBlack

Lash Curl

Downward PointingStraightCurledIntertwined Curled

Brow Color

BlondeRedBrownBlack

Tint/Stain Choice

Processing Time

Brow & Lash Intake Form

Lash & Brow Questionare

Agreements & Policies

Stylist Section