Brains and Browty Consent Forms
Consent form for Brow Lamination, Waxing and Tinting
Email *
First and Last Name *
How did you hear about us? *
Do you have any of the following conditions? (Check all that apply) *
Required
Are you currently being treated for an eye illness, eye injury, or skin condition? *
Do you currently have irritated, itchy, or watery eyes?  *
Are you allergic to perms, hair color, or tape? *
List all other allergies: *
List medications and supplements you take regularly. *
Are you currently pregnant? *
Have you ever had an eyelash tint, lift or brow lamination before? *
If yes, when was your last procedure? *
Have you ever had an adverse reaction to an eyelash tint, lift, or brow lamination? *
If yes, please describe *
Do you have permanent eye or brow makeup? *
Do you wear contact lenses? *
If yes, do you agree to remove them for the procedure? *
Do you currently have any other lash or brow procedures? (Lash extensions, etc.) *
I give permission for waxing, brow lamination, shaping and tinting if needed *
I completed the above form to the best of my knowledge. I  will inform the technician of any changes to the above information. I will not hold the technician liable for any issues not disclosed at the time of my service or any adverse effects from the brow lamination and or tint procedure. Please write full name as signature.  *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms