Brow Lamination and Tint Form

Name

First NameLast Name

Date

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

If checked yes to any of the above, please specify:

By signing this agreement, I consent to have a brow lamination and or brow tintI understand there are risks associated with having a brow lamination and or brow tint.I understand that some mild but normal symptoms may occur with the brow lamiation depending on the sensitivity of my skin during the procedure and will subside in 24 hours. These symptoms may include: mild tingling, slight redness due to brushing the hairs, slight warmth in the area.I understand that even though my technician perms the brows using the proper technique, the instruments, cleaners, adhesives, and removers used may irritate my brows or require a physician’s follow-up care.I understand and agree to the care instructions provided by my technician for the use and care of my permed and/or tinted eyebrows. I realize and accept the consequences of failure to adhere to these instructions may cause the brows to not stay permed as long as told.

No water can come in contact with the brow area for 24 hours after the application.Avoid makeup brow pencil for the first 24 hours.Avoid using oil containing sunscreens, moisturizers and cleansers on lashes for the first 24 hours.

Acknowledgement and Waiver

I am over 18 years of age and consent to the agreement and to treatment or have a guardian that consents to this service. This agreement will remain in effect for this procedure and all future brow services conducted by my service provider. I understand that this consent agreement is legal and binding. I have read and fully understand all information in this agreement. I release my service provider from all liability associated with this procedure, which is performed with the utmost attention to safety and proper application using tools and products that the technician has been professionally trained to use. There are no guarantees for the length of time the brows will stay permed. I understand the aftercare instructions and will do my part to maintain my brows. I understand that there are many factors that may affect the life of the brow lamination and or tint such as water and moisture contact, weather conditions, and activities involving exposure to high temperatures. By signing below, I verify that I have read and understand the above statements and agree to them.

I agree to the information above

Reservation & Cancellation Policy for all current and future appointments: a valid credit card is required for all appointments. Please do not forget to confirm your appointment when you receive your reminder from Square. In the event of cancellations received less than 48 hours prior to appointment a cancellation fee equal to the reserved service booking will incur. No Shows will be charged 100%

I understand the reservation and cancellation policies at White Rose Beauty Studio and consent to my credit card on file being charged if I fail to give a 48 hour notice for appointments scheduled.

Signature

Brow Lamination/Tint Form