PMB MODEL APPLICATION

Full Name

First NameLast Name

E-mail

Phone #

Area CodePhone Number

AGE:

Referred By:

Please note full name if referred by Friend or Family. If found via websearch - please specify!

Please mark any/all that apply.

Please mark all statements as acknowledgement.

I am Interested in

Other

Please List ALL Medications, Vitamins, and Supplements you regularly take. Certain medications can affect the healing and/or procedure itself. Please Include all prescription and over the counter medications.

Please use this comment box to tell us about any items listed above that may need a short explanation. If you marked that you have had your permanent makeup previously done, please let us know how long ago, which procedure, and how much color remains.

Additional Comments

Please attach a BRIGHT,CLEAR, MAKEUP-FREE photo of the area(s) in which you are applying for. Please do not send blurry photos. It is typically best to have someone else take the photo for you. Full face image is ideal.

Signature

I have answered questions honestly and to the extent of my knowledge. I understand that not being forthright and honest with my medical history and background could negatively affect my procedure outcome. I agree to the policies of Permanent Makeup Boise, available to me at www.permanentmakeupboise.com . Clients who have had procedures performed by another technician will be charged the full price, according to the normal fee schedule, regardless of the procedure. We reserve the right to refuse any service or procedure.

When you've completed the form you can SUBMIT ONLINE by clicking "SUBMIT" below.
Your information will go directly to Permanent Makeup Boise. If needed, a technician will call you for additional information.

Completing this application does not guarantee you a model appointment. Not all applicants are suitable clients for a beginner or classroom setting. This does not necessarily mean you can never have permanent cosmetics with PMB in a normal appointment situation.

APPLY HERE TO BE A PMB PROCEDURE MODEL...