EYE BROW LAMINATION AND TINT CONSENT FORM

    Appointment Date:

    Date Of Birth:

    Have you ever had an Eyebrow Lamination and
    Tint? If YES, when did you have it?

    If YES, was it a good experience? If NO, please describe:

    Have you had a lash/brow tint before?

    If YES, did you experience any reaction to the tint?

    Which best describes the look you would like to achieve for your brows?

    CLIENT INFORMATION Continued

    For a more effective, personalized treatment, please be as accurate as possible when filling out the following information

    PLEASE CHECK ANY OF THE FOLLOWING THAT MAY APPLY TO YOU:

    RELATING TO THE EYE

    GENERALLY RELATING TO EYEBROWS

    Beauty Treatments/Regimes

    CONSENT FOR EYEBROW LAMINATION AND TINT

    I UNDERSTAND /AGREE TO THE FOLLOWING COMPLETELY: (PLEASE INITIAL EACH STATEMENT)

    By signing below, I verify that I have read and understand the above statements and agree to them.

    Patient Name:

    Date:

    Signature: