New Service Request Form

New Service Appointment Request Form

Please visit jinxtattoo.squarespace.com to read over After/Before Care, Policies and Services
This form must be filled out completely prior to booking an appointment with Jocelyn Mahayag at Pensacola Permanent Makeup.
We will reach out to you directly for booking as soon as we have had the opportunity to review your submission.

This form will require a picture of your brows in their current condition to be uploaded in order for it to be submitted. We suggest that you have that picture ready to go before moving forward. One clear quality photo with no makeup on the brows, no filters added, and preferably in natural lighting.
Please be sure to read through our FAQ's page on the website for pre and post care instructions. JBean Tattoo wants you to have all of the necessary information for a successful and stress-free appointment.
Name

First NameLast Name
Age
Date of Birth

MonthDayYear
Date
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
If you have any junk/spam settings on your cell phone you may not recieve text messages from unknown numbers. Please save my number 1-404-953-2973 into your contacts so that I may reach you.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please initial to acknowledge your PHONE and EMAIL address is correct. If entered incorrectly we will be unable to contact you.
Today's Date

MonthDayYear
Date
Before scheduling your appointment and paying your booking fee, you must read ALL before and after care information on my website that pertains to the service you have selected.
**by signing your name you are agreeing that you have read and understand all pre and post care instructions that have been provided for you on the website**
I understand that I can NOT have any permanent makeup procedures done while I am pregnant
** There is a $100 fee for any initial touch-up sessions scheduled after 16 weeks
Please sign to confirm that you understand and agree to the scheduling terms and fee with JBean Tattoo
Today's Date

MonthDayYear
Date
Booking Fee & Missed Appointment Policy

All policies are firm. Please read in full before scheduling your appointment.
GUESTS:to minimize distractions and due to safety and liability concerns, there will be no guests allowed in the procedure area. It’s recommended to come alone to your appointment or prepare for guests to wait in the seating area only. No unaccompanied children please

BOOKING FEES:All booking fees are nonrefundable no exceptions. Booking fees are non transferable between clients. If the client needs to reschedule their appointment at least 48 hour notice is required to do so.

In the event of a last minute cancellation (less than 48 hour notice given) you will forfeit your booking fee and a new booking fee must be placed in order to be rescheduled.

- If the client cancels the same day as the appointment
- If the client is late to the scheduled appointment by 15 minutes or more.
- if the client is a ‘no call-no show’

The appointment will be cancelled and the booking fee will be forfeited.

The client will be responsible for paying a new booking fee before a new appointment will be scheduled.

Booking fees will be paid at the time of booking after your appointment date and time has been selected with Jocelyn.

Booking fees will be paid by the payment apps below. When sending booking fees please state "PMU Booking Fee/ Your Last Name"

(Example: PMU Booking Fee/Mahayag)

Apple Pay: 404-953-2973

Zelle: 404-953-2973

Venmo:MJocelyn2222

Cashapp:$JocelynMahayag

The booking fee does go toward the total cost of the procedure.
By signing this box I agree to all terms and conditions of the booking fee and guest policies with JINX TATTOO at Pensacola Permanent Makeup.
Have you already read over the FAQ's, Policies, and Services pages in detail on our website prior to filling out this form?
You must disclose if you have ANY previous permanent makeup for approval, no matter how long ago it was done or how faded it may appear to you.
Have you ever had any form of permanent makeup done before?
If No, Please write N/A. If yes, please describe the service(s) done and date of last session.

What is your skin type?

Rows	Selection
Dry/Normal (Small pores, smooth skin, not shiny)
Combo (Visible pores, oily mainly in T-zone or depending on weather)
Oily (Larger pores, textured skin, oily year-round)

Please check below if you have the following medical condition:

Rows	Yes	No
Cancer
Hyperpigmentation
Keloid
Hemophilia
Diabetes
Hepatitis
Tuberculosis
Epilepsy/Seizure
Anemia
HIV positive
Cancer
Venereal Disease
Asthma
Iron Deficiency Anemia
Radiation therapy or chemotherapy
Eye Disorder
Skin Disorder
Herpes Simplex
Alopecia
Acne
Pregnant
Rosacea
Cold Sores
Herpes
Vitiligo
Use anti-aging skin care products
Bleeding Disorder
Eczema
History of Keloids
Psoriasis
Scars/Moles
Thyroid Disorder
Trichotillomania
Inability to lie down flat on your back
NONE- ** click the yes box*

Have you had a Brow Lift/Face Lift/Blepharoplasty?
If yes, please list type and date of surgery
We can not perform any permanent eyebrow procedure on anyone who has had any surgery done to the face/eye area within a minimum of 6 weeks. This includes but is not limited to face lift, brow lift, blepharoplasty, cataract, lasik, nose, hairline, and cheek.
We recommend waiting longer than 6 weeks after your surgery as we place quite a bit of pressure on the face while working and you will still be very sensitive. The skin must be stretched tightly to properly implant pigment. You will be laying down flat underneath very bright lights the entire appointment, so please keep any eye sensitivities in mind while booking. This includes your touch up appointment. Being able to lie down flat is a requirement for being an eligible candidate for any PMU procedure.
I understand that I can not have any permanent makeup done within 6 weeks of any surgery done on the face or eyes.
I understand that I can not have any permanent makeup procedure done while I am pregnant.
Which service are you wanting to have done? PLEASE visit my website at www. jinxtattoo.squarespace.com to see the difference in each technique.
Please explain your reason for choosing that service and what you are looking to achieve:
I have reviewed Jocelyn's portfolio and I am familiar with the styles that she creates.
I will trust the artist I have chosen to work with to create the best results for my facial structure, age, and skin type.
Today's Date

MonthDayYear
Date
Instructions for submitting a photo:
Please upload one full face photo. Make sure the photo is:
- Forward facing, makeup-free, in natural, indirect lighting and contains no filters. (Sitting in your car provides the best indirect light).
- Please wipe the brows clean with makeup remover before taking a photo.
- Please do not send a cropped photo of just your eyebrows. We do need a full face photo with your facial muscles relaxed.
If we're unable to assess the brows in the photo submitted, you may be asked to resend or stop by the studio.
File Upload

Cancelof
Acknowledgment
I have read and understand all information that has been given to me above.
Date

MonthDayYear
Date
Should be Empty:

New Service Appointment Request Form

Booking Fee & Missed Appointment Policy

Instructions for submitting a photo:

Acknowledgment