Please list any illnesses or conditions you are being treated by a physician for*
List any allergies you have*
If you had an adverse reaction to a previous tinting, please explain*
We require a 24-hour cancellation notice or appointment rescheduling of all services.
A Charge of 50% of the service will be incurred for all missed appointments.
Please note that this card will only be charged in the case of a same-day cancellation or a no-show appointment, please bring in a separate payment method at the time of your service.
Type of card*
Eye Lash and Brow Tinting Consent Form
Although every precaution will be made to ensure your safety and well-being before, during and after your tinting, please be aware of the following risks below. Initial the following.*
By entering your name, date and signature below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge.