Brow/Lash Intake Form

Brow & Lash Intake Form

Waxing, Threading, Lash Lift, Korean Lash Lift, Tinting & Brow Laminations
Name

First NameLast Name
Birthday

MonthDayYear
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
Lash & Brow Questionare

Please answer the following questions by marking YES or NO.

Rows	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:
If any allergies, please list:
If any, please list history of eye disease, infection or irritation (i.e. pink eye, scratched cornea, dry eye...)
If any health conditions(i.e. cancer, alopecia, non-function tear ducts, diabetes, or thyroid...) please list:
If any, please list medications and cleansers used daily (i.e. Retin-a, Accutane & Acne medications...)
What color is your brow hair?
Agreements & Policies
Brow/Lash Lift & Tinting Information and Agreement

By signing below, I acknowledge and understand the following:
- I understand if I would like my bottom lashes tinted I will inform my service provider prior to our service.
- Brow and lash tinting and lifting involve the use of professional products near the eye area and may cause temporary irritation, redness, itching, stinging, or burning.
- If product accidentally enters the eye, it will be flushed immediately. Medical attention may be required in rare cases.
- Temporary skin staining or discoloration may occur following tinting and will fade naturally within a short time.
- Results may vary due to individual hair type, skin, and previous treatments. Exact color or lift results are not guaranteed.
- Tint color will gradually fade and typically requires maintenance every 3–4 weeks.
- Lash lifts will gradually relax and typically require maintenance every 6–8 weeks.
- I have disclosed all relevant medical conditions, sensitivities, medications, and recent treatments prior to my service.
- I understand the procedure and accept the associated risks.
Cancellation Policy

A 50% deposit is required to secure all appointments. This amount is applied toward your service total. Deposits are non-refundable in the event of late cancellations or no shows.

For free cancellation/reschedule please contact us at least 24 hours before your appointment.

Cancellations or rescheduling must be made at least 24 hours prior to your appointment.

Same-Day Cancellations will result in loss of deposit (50%)

No-Call/No-Shows will be charged the full remaining service balance

By booking an appointment, you agree to this cancellation policy.We appreciate your understanding and respect for our artists’ time.

Payment Information We accept cash, check, and credit/debit cards. A 3.5% non-cash adjustment applies to all card transactions. Loyalty Cards are provided for cash payed services over $40. Tips are not accepted on cards. Cash, Venmo or Zelle is greatly apprectiated.

No Refund Policy
All services are non-refundable. You are paying for your artist’s time, products, and expertise. If you have questions or concerns, please notify us within 72 hours of your service so we can address them appropriately.

Payment Information We accept cash, check, and credit/debit cards. A 3.5% non-cash adjustment applies to all card transactions. Loyalty Cards are provided for cash payed services over $40. Tips are not accepted on cards. Cash, Venmo or Zelle is greatly apprectiated.

Late Policy
Please call if you are running late.
Arrivals over 15 minutes late may be considered a no-show and will be charged accordingly.
If you arrive late but can still be serviced, the full service price applies, and results may be affected due to time constraints.

No Guest Policy
To maintain a calm and safe environment: Only scheduled clients are permitted in the salon. Children are not permitted unless they are receiving a service.
Acknowledgment
By signing below, I confirm that I have read, understand, and agree to the policies above.

This agreement applies to all current and future appointments.
Signature

Clear
Stylist Section

Must be filled out after consultation, any changes must be made in Meevo.
ShortMediumLong
ThinMediumThickCourse
BlondeRedBrownBlack
Downward PointingStraightCurledIntertwined Curled
BlondeRedBrownBlack
Tint/Stain Choice
Processing Time
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Brow & Lash Intake Form

Lash & Brow Questionare

Agreements & Policies

Stylist Section