• Brow Lamination and Wax Waiver

    Please carefully read and sign this form to consent to your Brow Wax, Tint, and Lamination treatments.
  • Date
     - -
  • Pregnant or breastfeeding?*
  • Have used ACCUTANE within the past year?*
  • Have you had ANY facial treatments, chemical peels, or laser treatments?*
  • Currently taking ANY medications that make you photosensitive? (ex. Antibiotics, AHAs/BHAs)*
  • Currently using ADAPALENE (Differin), RETIN-A/TRETINOIN , RETINOLS or RENOVA?*
  • Currently have or have had ANY of the following medical conditions that could compromise your skin?
  • Over the age of 18? (If not, please have legal parent or guardian present for consent)*
  • I Agree to post care including: NO Swimming, Hot Tubs, Aggresive Exfoliants such as Peels, Saunas, or Tanning for 72 HOURS AFTER treatment.*

  • CAREFULLY READ THE FOLLOWING WARNINGS

  • IF YOU ARE USING ANY OF THE FOLLOWING MEDICATIONS, YOU CAN NOT BE WAXED UNTIL YOU HAVE SPOKE TO YOUR ESTHETICIAN  - ACCUTANE- ADAPALENE- ISOTRETINOIN- RETIN-A - RENOVA- ALUSTRA- AVITA- TAZAROTENE - TRETINOIN- AVAGE- DIFFERIN

    YOU MAY EXPERIENCE SKIN SENSITIVITY/THINNING, WHICH CAN RESULT IN SKIN LIFTING, FROM THE FOLLOWING: - SUNBURNED - RETINOL - CERTAIN MEDICAL CONDITIONS - PREGNANCY- ANTIBIOTICS- OTHER MEDICATIONS NOT LISTED - MENSTRUATION

  • CLIENT CONSENT (OVER 18 YEARS OF AGE)

  • I UNDERSTAND THAT IF I BEGIN USE, OR ARE CURRENTLY USING, ANY OF THE PRODUCTS LISTED IN THE ABOVE WARNING AND DO NOT INFORM THE ESTHETICIAN PRIOR TO CURRENT OR FUTURE TREATMENTS, I ACCEPT FULL RESPONSIBILITY FOR ANY ADVERSE REACTIONS.

    I UNDERSTAND THAT WAXING MAY CAUSE SOME REDNESS, BUMPS, SORENESS, AND/OR ITCHING.

    During the treatment, despite all the precautionary measures made by the
    esthetician, injury is possible. I will not hold the esthetician Nubia Celeste Anaya Ayala, Neumoon Esthetics, performing this service on me responsible in any issues that may arise of having the Brow Lamination,Wax, or Tint procedure performed on me.
    Despite of the most advanced and top ingredients, an allergic
    reaction is possible.

    It is my responsibility to advise the esthetician of any concerns I may have before any Brow procedure.
    The minimum or maximum duration of the Brow Lamination cannot be determined.

    The esthetician performing the Brow Lamination will not be held liable for 
    damages caused to me or my eyebrows by any reason, including allergic reaction,
    previous procedures such as previous henna/tint on the brow hair, skin sensitivity, and failure to follow the Brow Lamination after care instructions.

    I understand Brow Lamination, Brow correction is a process of reconstructing the
    brows hairs to keep them in a desired shape, but it is my own responsibility to maintain the health of the hair and skin.


    I understand that the brows after Brow Lamination must stay dry for 24-48hours.


    I understand experiencing some redness of the skin or mild sensitivity is normal.

     

    **CONSENT TO PHOTOS/VIDEOS

    I consent to the taking of before, during, and after photos or videos of my brow service for documentation, education, and marketing purposes. I understand these images may be used on social media, websites, or promotional materials by Neumoon Esthetics. I understand that my name will not be shared without additional permission. I release Neumoon Esthetics from any liability that may arise from the use of these images. I understand I may decline photo/video use at any time by notifying the provider before the service begins.

  • CANCELATION AND LATE POLICY

  • A NON REFUNDABLE Deposit will be required for all services and will go towards the service booked. 
    If I decide to do a 'NO SHOW', deposit will be charged. 
    I can reschedule/cancel my appointment and avoid being charged as long as it's 24-48 hours before my appointment.

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