Brow Lash Intake & Consent
  • CLIENT INTAKE + CONSENT FORM

    Brow, Lash + Wax Services - Lamination. Lash Lifting, Tinting, Brazilian, Legs etc
  • Format: (000) 000-0000.
  • Scheduled Procedure(s):

  • HOW DID YOU HEAR ABOUT US?

  • Medical History Questionnaire:

  • Authorization

    I hereby authorize SKNVY BEAUTY LLC, its employees, and agents to perform the waxing, brow lamination, lash lift, brow or lash tint procedure(s) on me. I fully understand that this procedure has limited applications. I am aware that
    the practice of esthetics, like medicine and surgery, is not an exact science, and I acknowledge that reputable practitioners cannot properly guarantee quality and/or results or freedom from complications. I understand that this procedure(s) may cause side effects. The side effects listed here are merely examples and are not intended to be an exhaustive list. Every person is different, and there is no guarantee that more severe side effects will not occur.

    Of the observed side effects, the most common are listed. You may experience quickly-dissipating, mild discomfort when the wax removes hair from its root. Taking antibiotics may make skin more sensitive and susceptible to some skin lifting. Please be aware that waxing may cause inflammation, welts, hives, skin lifting, and reddening or small breakouts due to bacteria being pulled out with the hair or sensitivity or allergy to the wax. This is usually not severe and may subside within a few days. I advide you to visit a doctor if not alleviated or worsens within a few days. 

    I acknowledge that I have had the opportunity to ask questions, and that I fully understand the waxing, brow lamination, lash lifting, or brow/lash tinting procedure.


    Waiver

    I understand and acknowledge that there are risks involved with the waxing procedure(s), including, but not limited to, those side effects listed above. I have had the opportunity to ask questions regarding these risks and other possible complications. I understand that any false or misleading information I have given may lead to undesired results and complications and hereby waive SKNVY BEAUTY LLC liability if such results or complications occur. I further understand that my
    failure to follow post-procedure instructions may also lead to undesired results, complications or effects and hereby waive SKNVY BEAUTY LLC liability if such results or complications occur. In consideration for SKNVY BEAUTY LLC performing this procedure(s), I agree that I will assume the risk and full responsibility for any and all injuries, losses, or damages, which might occur to me while I am undergoing this procedure(s) or side effects I may experience after the procedure(s) is
    performed. To the maximum extent allowed by law, I agree to waive and release any and all present and future claims, suits or related causes of action against SKNVY BEAUTY LLC, its owners, officers, employees, or agents for negligence, injury, loss, death, costs or other injuries or damages to me as a result of this procedure(s).
    I certify that I have read and fully understand the above paragraphs, that I have had
    sufficient opportunity for discussion and to ask questions, and that I hereby consent to the
    procedure(s) described above.

  • Date
     - -
  • SKNVY BEAUTY LLC

    CONTACT@SKNVYBEAUTY.COM PHONE 346.812.4159
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