Bare Beauṯee Bar Client Intake Form

CLIENT INTAKE FORM
Name
DOB
Address

Street Address

Street Address Line 2

City State PostcodeState / Province

Postal / Zip Code
Phone
Format: (000) 000-0000.
Email
example@example.com
Occupation
Emergency Contact
How did you hear about us?
Would you like to be added to our email list for specials & discounts?
Have you had your lashes or brows tinted/dyed? If yes, have you ever had an adverse reaction?
Details
Have you ever used hair colour before? If yes, have you ever had an adverse reaction?
Details
Do you use any of the following products?
Medical History
Extra Details
Are you currently taking any medication or supplements?
Details
Do you have any of the following conditions? (Check all that apply)
Please list any conditions you are currently being treated by a physician for:
I have completed this form to the best of my ability and knowledge. I agree to inform the technician of any changes in the above information. I agree that I do not have any condition(s) that would make the requested treatment unsuitable. I will inform the technician of any discomfort I may experience at any time during treatment to allow them to adjust accordingly. I agree to waive all liability toward my technician and the salon for any injury or damages incurred due to any misrepresentation of my health.
CLIENT SERVICE PREFERENCE
GENERAL QUESTIONS
Please list any requests or specific area of concerns: (Lash/ Brows)
Although we use our perfected technique that ensures the very best results, there are a few anatomy facts that may prevent us from performing your selected preference.

Please read below & ensure to initial the box so we know you are aware of this.

Any questions or further explanation are encouraged!
The average lash length is 8-11mm & the average brow density is 150-175 hairs perbrow. If you meet below this bracket, it is likely that we must select a style based on our professional opinion. I understand:
If you choose Bleach, HD Brows or Hybrid Dye for your brows, ALL shades will be custom to YOU and your preference.It will all be shown and discussed with you prior to your session. This is just a general preference form. I understand:
Preference:
CONSENT & TERMS & CONDITIONS FORM
Client Name
Date
I agree to all/ or please note what you do not agree with:
CLIENT MOOD FORM
Thank you for trusting us! Your comfort is priority. Please take a few minutes to tell us how you want your appointment to go today regarding our communication.

There is no judgement - Sometimes we need a break or a talk.
Communication With Specialist:
How Are You Feeling Today?:
Any special request: Tea, Water, Snacks, Blankets ect.
Client Confidentiality Agreement: By proceeding with your booking, you acknowledge and agree to our Client Confidentiality Agreement. If you do not agree, Bare Beauṯee Bar reserves the right to respectfully decline providing services.
By signing below, I agree to everything mentioned in this form:
Signature
Clients Full Name
If Signing on behalf of a Minor
Date

MonthDayYear
Date
Please click NEXT to view & agree to our Appointment Preparation & Appointment Aftercare instructions.

CLIENT INTAKE FORM

CLIENT SERVICE PREFERENCE

GENERAL QUESTIONS

CONSENT & TERMS & CONDITIONS FORM

CLIENT MOOD FORM