Brow Lami + Shaping

Name*

First NameLast Name

Phone Number*

Area CodePhone Number

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

How did you hear about Allora Beauty Bar?

Is this the first time you have had a brow lamination and/or wax?

YesNoJust Brow LaminationJust Wax

Do you have, or are you being treated for any skin disease or injury?*

YesNo

Do you use any of these products on or had any treatments done recently?*

If so, please explain when the product/treatment was last applied.

Are you currently taking any medication?

Do you have allergies?

Are you over the age of 18?*

YesNo

• I understand there are risks associated with having Brow Lamination and/or Waxing & Tinting.

• I understand Brow Lamination + Shaping is a process of reconstructing the brows hairs to keep them in a desired shape, but it is my own responsibility to brush them daily to achieve the desired look daily.

• I understand that the brows after Brow Lamination must stay dry for 48hours.

• I understand experiencing some redness of the skin or mild sensitivity can be normal.

• I agree that if I experience any of these conditions with my eyebrows that I will contact my technician and consult a physician at my own expense.

• Although the highest quality and most advanced ingredients are used, an allergic reaction may still occur.

• It is my responsibility to advise the esthetician of any concerns I may have before the Brow Lamination procedure. Even though I may have written it down on this form.

• The minimum or maximum duration of the Brow Lamination cannot be determined with certainty.

• I agree that by reading and signing this consent form, I release Allora Beauty Bar from any claims or damages of any nature.

• I agree that I read and full understand this entire consent form.

By signing this agreement, I acknowledge that I have been given the full opportunity to ask any and all questions which I might have about the eyelash extensions procedure and that all of my questions have been answered to my full satisfaction.

Signature*

Date*

Date

Allora Beauty Bar

Authorization