Permanent Makeup Request

Permanent Makeup Request

In order to help me streamline the booking process please fill out any relevant information I may need for your appointment below. If there is a question you do not understand or are not sure how to answer, give a best guess and let me know at the end how I can help. Once this has been filled out you will be automatically put onto a waitlist and from then you will be contacted for more information.
Name*

First NameLast Name
Email*
example@example.com
Phone Number
Not required, I may phone if needed to discuss further.
Pronouns
Date of Birth*
Where are you located?*

Dawson CityPort AlberniVictoriaVancouverOther
What are you looking to get done?*
Is this your first time getting a permanent makeup procedure?

YesNo
Placement Location

Cancelof
Please attach a photo of your brows/lash line
PREFERRED DAYS OF THE WEEK*

MONDAYTUESDAYWEDNESDAYTHURSDAYFRIDAYSATURDAY
PREFERRED TIME OF DAY*

Early (12pm-3pm)Afternoon (3:00pm-5:00pm)Late (6:00pm-8:00pm)FULL DAY (12:00pm-8:00pm)
If you are looking for a specific date, please list below those dates, so I can try to accommodate you.
Do you have any medical conditions that you'd like me to know about, which may affect the tattooing and/or healing process (eczema and keloids are the major two to know about beforehand). Do you have any allergies to lavender, alcohol, adhesives, nitrile (we do not use any latex), witch hazel, glycerine, etc. Do you require wheelchair access or any other necessary considerations due to a disability? Also please note, that there is a cat in the building (not in the room) so if you have severe allergies it may not be the best.*
How did you hear about me? Genuinely just curious
Once we've agreed on a day and approximate time/cost, in order to begin the design process and/or secure your appointment date, I'll need a $50 deposit. NOTHING IS CONFIRMED UNTIL A DEPOSIT IS RECEIVED. This will count towards the total cost of your tattoo. It's non-refundable, but if you need to reschedule you won't lose the deposit if given more than 72 hours notice. Rescheduled tattoos must be within 2 months, otherwise a new deposit is needed. I except payment via cash or e-transfer.