Book Your Permanent Makeup Appointment

Natural Permanent Makeup Consent Form

Beauty in Balance
Step 1: Personal Details
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Instagram account ( Optional )
Date of birth *

MonthDayYear
Emergency contact name *
Emergency contact number*
Please enter a valid phone number.Format: (000) 000-0000.
How did you hear about us ?*
Who can we thank for referring you ?
Who will perform you procedure ?*
Do you have previous permanent makeup ?*
Color Correction / Work from Another Artist

Color correction or cover-up work may require multiple sessions, and results are not guaranteed.
If pigment is too saturated, removal may be recommended before proceeding.
If you choose to proceed against professional advice, results may be affected and may require additional sessions and touch-up fees due to increased complexity.
Nano BrowsMicrobladingPowder BrowsMen's Permanent Makeup BrowsLip BlushTouch-Up SessionScalp PigmentationFine Line Tattoo
Upload clear natural-light photo (without any brow makeup or filters)*

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Natural Permanent Makeup Consent Form