Eudora Brow Giveback Program

Eudora Brow Giveback Program

Every six months, one qualified recipient will be selected to receive a complimentary permanent makeup brow session. This program was created to give back and support individuals experiencing eyebrow hair loss due to cancer, chemotherapy, radiation, trauma or surgery to the brow area, or alopecia. Individuals may nominate themselves or someone else; however, all applicants are encouraged to carefully review the eligibility criteria prior to submission. Recipients will be selected at random and notified via email and text message if chosen. *Drawings will be held July 1st and January 1st of every year*
Name of nominee*

First NameLast Name
Phone Number of nominee*
Please enter a valid phone number.Format: (000) 000-0000.
Email for nominee*
example@example.com
Are you nominating yourself or someone else? *
Please Review the eligibility criteria and contraindications below and make sure the nominee qualifies before submitting.

Eligibity criteria:

-Cancer, chemo, or radiation affecting brow hair

-Cancer requiring surgery, affecting the brow hair

-Facial trauma or surgery to the brow area

-Alopecia

Contraindications: the nominee cannot recieve this service if:

-Currently pregnant or breastfeeding, or trying to become pregnant
-Blood borne disease (HIV, Hepatitis, etc.)
-Weakened immune system or taking immunosuppressants
-Current cancer, chemo/radiation, or history in the past year
-Uncontrolled diabetes or uncontrolled high blood pressure
-Current anemia or anemia symptoms
-Uncontrolled bleeding disorders
-Slow to heal or prone to infections
-Accutane medication in the past year

Factors requiring pre-approval and a medical release:
Autoimmune disease (lupus, MS, Lymes)
Prescription blood thinners including aspirin (Must have a signed doctor release)
Any previous eyebrow tattooing
Any facial skin conditions that affects the health of the skin in the brow area
Cancer requiring chemo/ radiationCancer requiring surgery to the brow area affecting the hairFacial Trauma or surgery to the brow areaAlopecia
The recipient must be comfortable with before and after pictures being taken and posted to online portfolio or social media. The individuals information will not be posted, and the pictures will be cropped showing the eyebrow area and upper face only. *
Please type "agree" if you agree to pictures being taken and used
The session date and time will be discussed and chosen when Melisa contacts the recipient, however, it will be during Melisa's normal client session hours: Tuesday, Wednesday, and Thursday's 2-7pm. *
Please type "agree" if those hours work with the receipts schedule.
Please use the space below to share about yourself or the individual you are nominating, including the qualifying diagnosis or condition, relevant dates of treatment (if applicable), and how this experience has affected confidence and daily life. You may also include how receiving this service would be meaningful and help improve overall quality of life.*
Please do not submit a nomination unless the individual genuinely meets the eligibility requirements. We kindly ask that all applicants be honest and considerate, allowing this opportunity to be reserved for individuals who have experienced eyebrow hair loss due to qualifying medical or traumatic conditions beyond their control.

If selected, recipients must be prepared to provide the name and information of the medical provider who diagnosed the qualifying condition, if applicable.
By signing below, you are attesting that all information is accurate to the best of your knowledge *

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