• Brow Lamination, Shaping, & Tint - Client Intake Form

  • Client Information

  • Date of birth *
     - -
  • Format: (000) 000-0000.

  • Emergency Contact

  • Format: (000) 000-0000.

  • Treatment Selection

  • Which service(s) are you receiving today?*

  • Health History

  • Have you had a brow lamination before?*
  • Have you had your brows tinted before?*
  • Have you had your brows shaped before?*
  • Have you experienced an allergic reaction to brow products, hair dye, tint, wax, or adhesives?*
  • Do you have any of the following? (Check all that apply):*
  • Are you currently using any of the following? (Check all that apply):*
  • Have you received any of the following within the last 2 weeks? (Check all that apply):*
  • Are you pregnant or breastfeeding?*
  • Do you wear contact lenses?*

  • Medical Information

  • Client Acknowledgements

  • I understand that brow lamination is a chemical treatment designed to soften and reshape the brows.

    I understand that brow tint temporarily colors the brow hairs and may lightly stain the skin for a short period.I understand that brow shaping may include waxing, tweezing, and/or trimming of the brows.

    I understand results vary depending on my hair type, skincare routine, medications, and aftercare.

    I understand there is a possibility of redness, irritation, dryness, allergic reaction, or sensitivity. 

    I understand that tint results may fade more quickly depending on skincare products, sun exposure, swimming, and skin type.

    I understand that brow lamination results typically last approximately 6–8 weeks, although longevity varies by individual.

    I understand no guarantees have been made regarding my results.

    I agree to inform my esthetician of any discomfort during the service.

    I understand that if I have contraindications, my service may be modified or declined for safety reasons.

    I understand that proper aftercare is essential for the longevity of my results.

    By initialing below, I acknowledge that I have read, understand, and agree to all the information provided above.

  • Aftercare Agreement

  • I understand that for the aftercare, I should:

    • Avoid getting brows wet for the first 24 hours.
    • Avoid steam, saunas, or excessive sweating for the first 24 hours.
    • Avoid swimming for the first 24 hours.
    • Avoid makeup on the brows for the first 24 hours.
    • Avoid oil-based products around the brow area.
    • Avoid sleeping directly on the brows when possible for the first 24 hours.
    • Avoid exfoliating acids and retinoids around the brows for at least 48 hours.
    • Brush brows daily using the provided spoolie to help maintain their shape.
    • Follow proper aftercare to help maximize the longevity of your brows.

    By initialing below, I acknowledge that I have read, understand, and agree to the information above regarding the aftercare instructions associated with the brow lamination with tint and/or shaping service.

  • Consent & Release

  • I certify that the information I have provided on this form is true, complete, and accurate to the best of my knowledge. I understand that withholding medical information may increase the risk of complications during or after treatment.

    I understand that while every reasonable precaution will be taken to ensure my comfort and safety, no guarantees have been made regarding the results or longevity of this treatment.

    I voluntarily consent to receive the selected brow service(s) performed by MaiBeautyyCo.

    I release and hold harmless MaiBeautyyCo and its owner, Mariah Cruz, from liability arising from the ordinary and known risks associated with this treatment, except where prohibited by law or in cases of gross negligence or willful misconduct.

    I understand that this consent will remain valid for future Brow services unless my medical history changes or this agreement is replaced with an updated version.

    I understand that it is my responsibility to inform MaiBeautyyCo of any changes to my medical history, medications, allergies, pregnancy status, or brow health before future appointments.

    I acknowledge that I have had the opportunity to ask questions regarding this service, that my questions have been answered to my satisfaction, and that I fully understand the information provided above.

    By signing below, I confirm that I have read this entire consent form, understand the risks, benefits, contraindications, and aftercare requirements of my treatment, and voluntarily consent to receive the selected Brow service(s).

  • Date*
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