Brow Lamination Consent Form

BROW LAMINATION, WAXING & TINTING CONSENT + CLIENT INTAKE FORM

Welcome love! Please complete this form thoroughly to ensure a safe and comfortable experience. ♡
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Emergency Contact & Phone Number
How did you hear of LasshedbyLucy? Were you referred ?
MEDICAL HISTORY & SKIN CONDITIONS

Please check any that apply.
General Health
Skin Conditions or Reactions
Medications & Products (important for waxing/lamination)
If yes, please list the products or medications and when you last used them:
WAXING CONTRAINDICATIONS & SKIN SENSITIVITY CHECK

Please answer the following:
Have you been waxed before?
If yes, did you experience any irritation or allergic reaction?
Have you had any chemical peels, enzyme treatments, microdermabrasion, or laser resurfacing in the last 4–6 weeks?
Have you been exposed to tanning beds, spray tan, or sunburn in the last 72 hours?
Do you currently use any skincare products containing acids, retinoids, or exfoliants?
Do you bruise, swell, or bleed easily from waxing or tweezing?
Have you had any allergic reactions to tinting, dye, peroxide, wax, or brow lamination solutions in the past?
If yes, did you experience any irritation or allergic reaction?
SERVICE DETAILS – INFORMED CONSENT

Please read and initial each:
Brow Lamination: A chemical treatment to straighten and set brow hairs in place for a fuller look. May involve processing creams, neutralizers, and nourishing oils.
Brow Tinting: A semi-permanent dye used to darken the brows. Typically lasts 2–3 weeks.
Brow Waxing: Removal of hair using soft or hard wax to define brow shape. Redness or skin lifting can occur, especially with sensitive skin or active ingredients.
I understand the nature of the brow lamination, tinting, and waxing services.
Initial
I have disclosed any relevant allergies, medications, and skincare use.
Initial
I understand that side effects such as redness, irritation, dryness, or allergic reaction are possible.
Initial
I understand that waxing may cause sensitivity or lifting of the skin if I am using contraindicated products.
Initial
I agree to follow all aftercare instructions provided by my technician.
Initial
I release the technician and salon from liability should any adverse reaction occur.
Initial
I understand that results vary and no guarantees can be made.
Initial
I Agree to the Late Policy
Initial
I Agree to the Deposits & Payment Policy
Initial
I Agree to the Cancellation/No-Show Policy
Initial
Client Signature
Date

MonthDayYear
Date
Should be Empty:

BROW LAMINATION, WAXING & TINTING CONSENT + CLIENT INTAKE FORM

MEDICAL HISTORY & SKIN CONDITIONS

WAXING CONTRAINDICATIONS & SKIN SENSITIVITY CHECK

SERVICE DETAILS – INFORMED CONSENT