Brow Client Consent Form

Brow Client Consent Form
Full Name
Date

MonthDayYear
Date
Address
Phone Number
Email Address
example@example.com
How did you hear about me
What service are you requesting?

Brow lamination with tintBrow lamination without tintBrow wax only
Have you previously trimmed your brows? (Razor/Scissors)

YesNo
Have you ever gotten your brows done before?

YesNo
Is there anything that youd like to share about your past experience
Leave blank if you’ve never gotten your brows done.
Please tell me about yourself and what kind of look you’re interested in (Natural, flame, somewhere in between?).
If you prefer to use a photo as reference, put “using photo as reference” instead.
Please list any allergies or conditions I should know about. (This is extremely important as I need to make sure the products I use will not give you a reaction.)
Please list any food allergies, as some ingredients in the products may be derived from food sources such as nuts, aloe Vera, and oils.
Although every precaution will be taken to ensure your safety and well-being before, during, and after your selected service, you are aware of the following information and possible risks. Please check:

I agree to have a brow lamination lift and/or wax and/or eyebrow tint applied to my natural eyebrows. By checking this agreement, I consent to the procedure of an eyebrow lamination and/or eyebrow tint.I understand that some irritation, itching, or burning may occur on the skin, which comes in contact with the lamination/tinting agent.I understand that if I have dry or dehydrated skin, this procedure may cause my skin or become even more dry, and my skin might possibly peel/flake.I understand that an allergic reaction is possible.I understand that some mild but normal symptoms may occur with brow lamination/brow tint depending on the sensitivity of my skin during the procedure and will subside within 48 hours. The symptoms may include: mild tingling, slight redness due to brushing the hairs, and/or slight warmth in the areaI understand that it is imperative to disclose ALL the information requested on the client intake form.I agree if I experience any ill effects with my eyebrows that I will contact the technician that performed my procedurei understand that I need to keep my eyebrows dry for 24 hours after the brow lamination/ brow tinting processi understand that I must not have any open lesions or severe acne while getting this procedure done.I understand that some swelling or pimples may occur as a result of getting my eyebrows waxedI understand that, while every attempt will be made to provide me with my chosen color for the tint, everyone’s hair absorbs color differently and my final result may not be the color I initially wanted.I understand that the hybrid tint stains the skin no longer than 7-10 days. I also understand that if i choose the hybrid tint, it would permanently dye my brow hairs.I understand that brow lamination it’s the process of reconstructing the brow hairs to keep them in the desired shape, but it is my responsibility to brush my brows up daily to maintain the desired look.I understand and agree to the instructions provided by the technician my technician for the use and care of my permed eyebrows. I realize and accept the consequences of failure to adhere to the instructions may cause my brows to not stay permed as long as told — and I may also receive breakage as the result of improper care.I understand that if I already have permanent work done, that I may not be the best candidate for brow lamination and/or brow tinting.I understand that having particularly stubborn coarse hairs may pose a challenge for the perming process, potentially affecting the longevity of the perm on my brows. I understand that if my hairs don’t perm or don’t stay permed, that I may not be the best candidate for brow lamination.I understand that this service is not recommended to anyone who’s pregnant due to the risks of a reaction. I understand that if i still want to get services, i am doing it within my own discretion and understand the risks that follow when getting my brows laminated and/or tinted.I understand that if i come in with super thin/botched brows, my technician cannot perform the best work possible.i understand if i trimmed my hairs with scissors or a razor in the past 1-8 months, my brows may appear jagged upon getting my brows laminated.i understand that my technician will do her best to accommodate my dry skin if I didn’t adhere to her recommended pre-care instructions, and understand that my technician can not guarantee satisfactory results.i understand that in order to get serviced, i must be at least 18 years or older, and if i am under that age, i must have a legal parent or guardian sign this consent form.i understand that I must not rush or expect my technician to finish at an earlier time. I understand that my technician cares for her craft and is not willing to rush their work due to inherent risks or possible undesirable results.
I understand that brow lamination/brow tinting is NOT recommended for the people with the following, and I hereby certify that none of the following applies to me:

Alopecia

Conjunctivitis

Recent Eye Surgery

Currently taking blood thinners, brow growth serums, Accutane, or AHA or BHA, Retinol or Retinoids (Examples: Differin, Glycolic Acid, Benzoyl Peroxide, Salicylic Acid, Vitamin C, Vitamin E) If you are using any actives such as AHA or BHA, please discontinue 1 week prior to your appointment.

Eczema, Psoriasis, Rosacea

Sunburn

Pregnant/breastfeeding

Recent PMU work (must be healed)

Sensitive skin

Allergic to perming solution
Signature

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I hereby expressly waive and release any and all claims, now known or hereafter against Edessa Studio (the "business") and its successors, and assigns (collectively, "Released") on account of personal or psychological injury, illness, pain, suffering, temporary or permanent disabilities, allergic reactions, undesirable results, death, property damage, or financial loss arising out of or attributable to my being on the premises and receiving certain spa and/or beauty services, whether arising out of the ordinary negligence of the business or any Releasees or otherwise. I understand that I will not be serviced unless I sign.
Signature

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Should be Empty: