MAKEUP BY SIRI consent form
Client information
Full Name
*
First Name
Last Name
Preferred pronouns
Age
*
Date of birth
*
-
Month
-
Day
Year
Date
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Makeup requirement
Type of makeup artistry requested
*
Please Select
Glam makeup
Bridal makeup
Stage makeup
Creative makeup
Editorial makeup
Character makeup
Special effect makeup
Body painting
Face painting
Specific request
Makeup reference
*
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Choose a file
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of
Client no makeup picture
*
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To analyze the right product for client
Cancel
of
What is your current skin type?
Please send a screenshot of 50% deposit payment
Zelle : 9297895357 (Ornsiri Pongtaveewould) or Venmo : @heysiri_here
Deposit Upload
*
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Cancel
of
Booking date
-
Month
-
Day
Year
Date
Starting
Hour Minutes
AM
PM
AM/PM Option
Ending
Hour Minutes
AM
PM
AM/PM Option
Pre-Procedure Questionnaire
1. Are you feeling sick?
*
Yes (if yes, Makeup By Siri asks that you cancel or reschedule your appointment to a later date when you are feeling well for the safety of MUA)
No
2. Do you have communicable disease?
*
Yes
No
3. Do you have any allergies or skin conditions
*
Yes
No
If yes, please describe
Acknowledgement and Waiver
I acknowledge that the deposit is non-refundable and serves to secure the booking date.
I acknowledge that the remaining balance must be paid no later than one day before the event to ensure the makeup artist is properly compensated for their time and preparation, and to avoid any last-minute issues or delays on the day of the event.
I consent to being photographed by the makeup artist and allowing the photos to be used in a promotional portfolio and may be showcased in such.
I agree to report any and all allergies and skin concerns/condition prior to makeup application, and if need be, a patch test of makeup be performed on the skin test for a reaction.
All brushes, tools and products are kept sanitary and are sanitized between each application. I agree I release Makeup By Siri from liability for any skin complications due to allergic reactions.
Acceptance of completed makeup application by client is acknowledgement by client that makeup is done to his/her/their satisfaction.
I indemnify and hold harmless Makeup By Siri and all venues against any claims, expenses, damages and liability.
I confirm that the information I provided in this document is accurate and true.
Signed date
-
Month
-
Day
Year
Date
Signature
Submit
Submit
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