New Client Interest Form

New Client Interest Form

Candidacy Information
Please fill out all the sections below to be considered for an appointment. Thank you for your interest in getting your brows done at Brow Naturale!
Potential Client’s Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Are you a good candidate? Not all conditions are problematic and more info will be requested. Check the conditions that apply to you:*

Pregnant or breast Feeding?Diabetes?Blood born Pathagens?Lupus?Glaucoma?Anemic?Thyroid issues?Chemo/radiation?
Over 18? License required at appointment.

NoYes
List your ALLERGIES or other sensitivities: *
Do you have any of these conditions? If so, list which you have: eczema, psoriasis, rosacea, or, do you get keloids? Don't worry, we can chat about your reply.
Describe your skin: as a skin artist, it’s just helpful for me to know ;-)

DryOilyBoth dry and oilyAcne Prone?
Have you had eye brow PMU tattooing or Microblading before? If so, how long ago?
When was your last Botox? Accutane? Chemical Peel/Facial (glycolic acid use), and/or Acne Cream? List which, and when:
Tinted brows in the last month?

YesNo
The BIG Question: What are your Brow Goals? Ie Shape change? Arch change? Head or tail made any different? Change nothing and just make them well filled in? Your ideas needed!
If your appointment is in less than 2 weeks, I will need to know: Do you have a Sunburn, Blemishes, or Shingles? If you have any of these or blisters or acne on the tattoo site, we can talk. List which, if so:
Please upload a picture of your natural brows (no make-up) as you face out the window on a sunny day. Don't crop the pic! Or Filter it ;-) You can wear make up the day of your appointment, but for now, I need to see if I can work with what you've got!

Cancelof
By signing below, I certify that I have answered the above questions truthfully. And that I understand that this is NOT a commitment to getting my brows done with Brow Naturale.

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For those always thinking ahead:

Realistic timing for a PMU tattoo appointment and pricing will be figured out upon in-person review AND the realistic outcome may include needing a touch-up to achieve desired results. Results depend on each person's skin, interest in being conservative or not tattoo wise, dedication to the "wet" 10 day healing process and the client's choices to avoid sweating and sun exposure during healing. The treatment can last up to 2-4 years!
I have read the timing and pricing information above and understand that pricing will be given at my in-person consultation AND timing can vary from 4-6 hours. Best estimates can be given after you Submit this Form!

Read it!Have not read it
Brow Naturale Contact Information:

Artist: Holly Lafave, A.A.M. Certified, Permitted

Phone: 781–591–9644

Email: BrowNaturalePMU@gmail.com

Website: BrowNaturale.Com

Instagram: @Brow_Naturale_PMU_Art
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New Client Interest Form

Please fill out all the sections below to be considered for an appointment. Thank you for your interest in getting your brows done at Brow Naturale!