Brow Lamination & Tint Information and Waiver Form
  • Format: (000) 000-0000.
  • Service
  • Have you had reaction to previous brow lamination ?
  • Do you have a very sensitive skin?
  • DId you have microblading or any semi-permanent brow procedure in the last 2 months?
  • Are you taking any skin medication (i.e. accutane)?
  • Are you currently taking any skin routine such as applying AHA, BHA, Retinol (ex. anti-aging skin prosecutors)?
  • Are you pregnant or currently breastfeeding?
  • Do you have a wound or scar tissue or pimple in the area to be treated?
  • I hereby declare and acknowledge that:

    I understand that this is a binding agreement. I understand that this Agreement is binding and that I must read and fully understand all information above. 

    I have read and fully understand the consent form in its entirety and have answered everything to the best of my ability. I have not misrepresented myself, nor have I withheld any medical information, surgical state, or condition.

    I confirm and agree that I wish to engage the services of Viva La Beautyy to perform the brow lamination procedure on myself.

  • Required Deposit for Service

    prevnext( X )
    USD

    Payment Methods

    creditcard
    After submitting the form, you will be redirected to Apple Pay to complete the payment.
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