Cosmetic Tattoo Request Form

Cosmetic Tattoo Request Form

Combo & Powder Brows - Consultation, initial appointment or touch up
Please fill out this form to the best of your ability. If you're having any difficulty completing this form, please contact viecoolstudio@gmail.com.
Guest Contact Information
Name*

First NameLast Name
Age*
This service is only available to guests of 18+ years old.
Date of Birth*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
Please enter a valid email address.
Pronouns

Appointment Details
Free consultationPowder Brows initial appointmentPowder Brows touch upCombo Brows initial appointmentCombo Brows touch up appointment
If you are looking to book for a touch up and had work done from a previous artist, please select the Free consultation or initial appointment option.

At this time, bookings are only available on Friday, Saturday and Sunday.
When booking an initial appointment or a touch up, please keep in mind that the appointment duration is approximately 4 hours. It is recommended to not book any plans after the approximate appointment end time, as it might run a little longer on a case by case basis.
When booking a consultation, the appointment duration is approximately 30 minutes.
Preferred appointment date - 1st choice*

MonthDayYear
Hour MinutesAM/PM Option
Preferred appointment date - 2nd choice

MonthDayYear
Hour MinutesAM/PM Option
Preferred appointment date - 3rd choice

MonthDayYear
Hour MinutesAM/PM Option
Preferred appointment dates and times
Please provide 2-3 appointment options.
YesNo
When did you have it?

MonthDayYear
Name of Beauty Clinic/Provider
Please include pictures of your brows with (if applicable) and without makeup*

Minimum 2 well-lit pictures. Facing forward and looking straight ahead are recommended.
Cancelof
Please describe the desired outcome for the procedure*
Please include inspiration pictures

Pictures of brows you like.
Cancelof

Pay What You Can Option

Cosmetic procedures are great options to help boost someone's confidence, but they can be costly. Accessibility is something that is important to me, which is why I offer a Pay What You Can option for initial appointments.

How it works

- A limited amount of spots are available per month with the Pay What You Can option.

- The Pay What You Can option starts as low as $100 and ranges up to $200. This amount might change in the future, but I hope to be able to offer this low price for as long as I can. The lowest price allows me to cover the cost of the room rental and part of the equipment.

- The Pay What You Can pricing does not include tips. Tips are welcome and appreciated, but never required or expected.

- You have access to a premium service like all my guests, which includes approximately 4h of service, an aftercare kit provided, snacks and drinks available during the appointment.

- The Pay What You Can option is not eligible for additional discounts or gift certificates.

- To apply for the Pay What You Can option, complete the sections below.
YesNo
If you are applying for the Pay What You Can option, please tell a little bit more about why
Google searchInstagramWord of mouthFacebookReferral from one of my previous clientsOther
I understand that submitting this form isn't an appointment confirmation. The studio will review my booking request and if the appointment is confirmed, I will receive an email confirmation.
Should be Empty:

Rows	Yes	No	Remarks
Cancer
Hyperpigmentation
Keloid
Hemophilia
Diabetes
Hepatitis
Tuberculosis
Epilepsy
Anemia
HIV positive
Heart conditions (including pacemaker)
Auto-immune condition
Venereal disease
Asthma
Iron deficiency anemia
Radiation therapy or chemotherapy
Glaucoma
Eye disorder
Skin disorder
Herpes simplex
Alopecia
Organ transplant
Other

Guest Contact Information