Makeup Lesson Intake Form

Makeup Lesson Intake Form

Makeup Lesson

Client Intake Form
Name

First NameLast Name
Date

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
How did you hear about us?

Consent
Before applying any makeup products, please note that using cosmoss is done solely at your own risk, While we at Wellness At Wildwood - Beauty With Susie, strive to provide accurate information about the products and techniques, we cannot guarantee results for every individual. Each person's skin is unique, and reactions may very based in skin types, sensitivities, and pre-existing conditions.

By choosing to apply makeup, you acknowledge and accept that any adverse reactions, including irritation, allergic response, or other issues, are your sole responsibility. We strongly recommend conducting a patch test on a small area of skin before full application and consulting a licensed dermatologist for personalized advice, especially if you have known skin sensitivities or allergies.

Please understand that we are not liable or responsible for any outcomes resulting from your makeup application. Enjoy exploring the world of beauty, but always prioritize your skin's health and well-being!

Thank you for understanding and happy enhancing!
Signature
Date

MonthDayYear
Date

Photograph and Video Release Form

Wellness At Wildwood
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date

MonthDayYear
Date
I would like your permission to use these photos for advertising. For example: Profolios, online, and print ads, etc. Your consent is necessary regarding this. Please circle and indicate with your signature if you would like your photos used or not used in advertising. We also like to tag our clients in phots used on our instagram profile! Please indicate if you'd like to allow this or not below.
Yes, feel free to use themYes, please take me on instagramNo, please do not use themNo, please do not tag me
Signature
Date

MonthDayYear
Date
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