Client Inquiry Form

Client Inquiry Form

This is a discounted opportunity in exchange for permission to take and use photos and videos for social media and marketing/advertising purposes.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
What procedure are you looking to have done?
If lipblush, have you EVER had any form of herpes (oral/genital) including cold sores?
If lash line enhancement or eyeliner, do you wear contacts? Contacts must be removed before the procedure and should stay removed for 3 days.
Do you have any previous permanent make up in the treatment area?
Please upload full photo of brows/lips with no make up, in good lighting. This must be approved by the artist beforehand.

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Are you looking to schedule in the Brick/Lakewood location or Galloway location?
What are you hoping to achieve with this procedure?
What is your typical availability?
Are you looking to schedule within
Do any of the following apply to you?
Are you interested in model content appointments that are offered at a highly discounted rate in exchange for your continued permission to use photos and videos taken during the appointment for advertising and social media purposes.
All medical conditions and medications must be disclosed to your artist. If you have any other medical conditions or are taking any other medications/supplements, please list below:
How did you hear about us?

Other
Should be Empty: