Brow Lamination Consent Form (NEW)

Brow Lamination Consent Form
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Email
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
YesNo
If yes, did you experience any irritation or adverse reactions?
Do you have any allergies (e.g., hair dyes, latex, adhesives, skincare ingredients, etc.)? Please list:
Do you have any skin conditions (e.g., sunburn, eczema, psoriasis, dermatitis, rosacea)? Please list:
YesNo
YesNo
YesNo

WAIVER AND RELEASE
I, {name}, voluntarily consent to receive a brow lamination service at GT Lash And Brows. I acknowledge that I am choosing to proceed without a patch test and accept full responsibility for this decision.

I understand that brow lamination services involve chemical solutions applied to the brow area and, as with any cosmetic procedure, carry potential risks. These may include, but are not limited to: skin irritation, redness, itching, discomfort, swelling, allergic reactions, dryness, brittleness, over-processing, uneven results, or damage to natural brow hairs. I agree to immediately notify my service provider if I experience any discomfort during the service.

I acknowledge that results vary based on individual hair type, skin sensitivity, natural growth cycle, and aftercare, and that no guarantees are made regarding final results, brow shape, or longevity.

I agree to follow all aftercare instructions provided. I understand that for optimal results, I must avoid water, steam, sweating, makeup, skincare products, and active ingredients around the brow area for 24 hours following the service.

I confirm that all information I have provided is true, complete, and accurate to the best of my knowledge. I understand that withholding or misrepresenting information (including allergies, sensitivities, medications, or recent treatments) may increase the risk of an adverse reaction, and I accept full responsibility for any outcomes related to inaccurate or incomplete information.

If any adverse reaction occurs, I agree to seek medical attention at my own expense and hereby release GT Lash And Brows from any and all claims or liability related to this service, including my decision to decline a patch test.

I understand that the brow lamination service requires me to remain still for approximately 30–45 minutes. I confirm that I do not have any medical or skin condition (including active irritation, open wounds, sunburn, or recent chemical treatments) that would prevent me from safely receiving this service, and I agree to disclose any relevant medical or skin concerns prior to the service.

I, {name}, further grant GT Lash And Brows and its affiliates the unrestricted right to photograph my brows, including before-and-after images, and to use these images in any form of media (print, digital, electronic, or otherwise) for advertising, marketing, education, publicity, archival, or other lawful purposes. I waive any right to compensation or royalties and release GT Lash And Brows from any liability associated with the taking or use of these images.

This consent applies to this service and all future brow lamination services performed by any professional at GT Lash And Brows. I confirm that I have read, understand, and voluntarily agree to the terms outlined above.

I certify that I am 18 years of age or older, or that a parent or legal guardian has provided consent below.
Signature*
Date*

MonthDayYear
Date
PARENT/GUARDIAN CONSENT

Please provide your name, signature, and phone number below.
Name

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

MonthDayYear
Date
Should be Empty:

Brow Lamination Consent Form

WAIVER AND RELEASE

PARENT/GUARDIAN CONSENT