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?

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

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?

• 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

Allora Beauty Bar

Authorization