MODELS CONSENT FORM

BROW AND LASH SERVICES

Please complete all required information, and remember to sign where indicated. Please note that services cannot be provided if the form is incomplete. If you have any questions, feel free to reach out to me via text or email brows.melianna@gmail.com.
CLIENT INFORMATION
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Location:
SERVICE DETAILS
Please select the service(s) you’re receiving:
CONTRANDICATIONS
Please select any of the following that apply to you:
IMPORTANT
- If you check any of the above, please inform me before proceeding. These factors may affect your eligibility for the service or require additional precautions.
- If you have hypersensitive or very sensitive skin, please inform me. This may increase the risk of irritation or redness and may require adjustments to the treatment or products used.
ACKNOWLEDGEMENTS AND CONSENT

1. Health and Safety

• I confirm that I have disclosed all relevant medical and skin history to the artist.

• I understand the importance of following pre- and post-care instructions provided by the artist.

2. Service Agreement

• I acknowledge that this is a model service and may be performed at a discounted rate for training, marketing, or portfolio purposes.

• I understand that the results of the service may vary and that minor imperfections are possible as the artist refines their skills.

3. Photos and Videos

• I grant permission for photos/videos of my brows and/or lashes to be taken during and after the service.

• I consent to these images being used for educational, marketing, and promotional purposes on social media and other platforms.

• I understand that no personal information will be shared alongside these images.

4. Liability Release

• I release the artist from any liability related to the service, including but not limited to unexpected reactions or dissatisfaction with the outcome.
SIGNATURE AND AGREEMENT

By signing below, I confirm that I have read, understood, and agree to the terms outlined above.
Signature
Date

MonthDayYear
Date
Should be Empty:

BROW AND LASH SERVICES

CLIENT INFORMATION

SERVICE DETAILS

CONTRANDICATIONS

ACKNOWLEDGEMENTS AND CONSENT

1. Health and Safety

SIGNATURE AND AGREEMENT