Name
First Name
Last Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Have you ever had a Brow Lamination ( and/ or Tint) before?
Yes
No
Health & Medical | All selections must apply in order to be a good candidate for BROW LAMINATION (& TINT).
I do not have any skin conditions (eczema, psoriasis, dermatitis, open wounds, etc.) on the brow area.
I am not taking any prescription skin/acne medication (Accutane, Retin-A, etc.)
I am not using any Retinol or Exfoliating acids (AHA’s, BHA’s) at least 3 days before & after the service.
I have not had recent cosmetic procedure near the brow area (Chemical peels, micro blading, Botox, Filler, etc.) within the last 4 weeks.
I am not pregnant or breastfeeding.
I have disclosed all known allergies to tints, dyes, or perming solutions.
Please list any known allergies (Skincare, hair dye, tints, adhesives, latex, or cosmetic ingredients). If none, please type N/A.
Please agree to the terms and conditions
I understand Brow Lamination involves the use of chemical solutions and herby give my consent to having the Brow Lamination procedure performed on myself by GLAM BROWS BY CARO. I understand that while every precaution will be taken, there is a possibility of irritation, allergic reaction, or other unexpected side effects. I will not hold the technician liable or responsible for any adverse reactions or outcomes that may occur as a result of this procedure.
I understand and agree to the after-care instructions given by the technician and for any unexpected circumstance that have happened due to not following these instructions are in my own risk.
I herby consent to being filmed for picture and/or video content.
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Client Signature
Submit
Submit
Should be Empty:
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