• Permanent Make-up Request Form

    Thank you for your interest in permanent makeup with me. This form helps me understand your goals, expectations, and overall vision, as well as determine whether you are a good candidate for the service you’re requesting. Submissions that align with my style and availability will be contacted via email with next steps. I look forward to reviewing your request. Please note, clients must be 18 years of age or older. No exceptions or waivers.
  • Are you a returning client for permanent makeup-up?*

  • If yes, please discontinue this form and email or text me directly to book your color boost. If you are inquiring about a new permanent makeup service, please continue completing this form.

  • Birthday*
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  • Format: (000) 000-0000.
  • Which service are you interested in booking?
  • Have you previously had permanent makeup or cosmetic tattooing performed in the area you are inquiring about? This includes microblading, nano brows, powder brows, lip blush, or eyeliner, even if it is faded or several years old.*

  • Please upload a current photo of the area being treated in natural lighting & no make-up.

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  • The following questions allow me to assess your understanding of the permanent makeup process and where you’re currently at in your permanent makeup journey, so I can best guide you moving forward.

  • Are you aware permanent makeup is a two-step process and final results are not immediate?*
  • Do you use a lot of active ingredients in your skincare? Ex: retinol, vitamin C*
  • Are you currently taking antibiotics or steroids?*
  • Do you have a history of cold sores or fever blisters?*
  • Are you aware that permanent makeup-up is meant to enhance your natural features, not replace make-up.*
  • Are you willing to follow all pre- and post-care instructions to achieve optimal results? Aftercare will be thoroughly discussed at the time of your appointment & you will be given an aftercare bag & card to follow.*
  • PREFERRED DAYS OF THE WEEK*
  • PREFERRED TIME OF DAY*

  • Thank you so much for submitting your request. I truly appreciate you taking the time to complete this form.  I will review your submission and get back to you as soon as possible using the email address you provided. Once your request is approved, we’ll move forward with securing a date and time for your appointment. Please keep an eye on your email as this is how we will communicate throughout the booking process. 

  • Do you prefer your deposit be paid via invoice sent through your email or Venmo?*
  • Should be Empty: