Brow Lamination Consent Form

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Brow lamination is the process of reconstructing the brow hairs to temporarily keep them in a desired shape that can last up to 6 weeks. Ideal for clients with sparse brows, unruly brows or coarse brows.

NAME *

PHONE NUMBER *

DATE OF BIRTH *

YYYY

STREET ADDRESS, CITY, STATE, ZIP CODE *

I understand that brow lamination is a process of reconstructing the brow hairs to temporarily keep them in a desired shape, and it is my responsibility to brush my brow hairs to the desired look and keep them moisturized for the first week after application. *

I UNDERSTAND AND AGREE

During the treatment, despite all precautionary measures, injury is possible. I will not hold the technician or The Bronze Lily responsible in any way for any damages or issues that may arise as a result of having the brow lamination procedure performed on me. *

I UNDERSTAND AND ACCEPT

Despite the application of the most advanced and top ingredients, an allergic reaction is possible. *

I UNDERSTAND AND ACCEPT

It is my responsibility to advise the technician of any concerns I may have participating as a client and having this service performed on me. *

I UNDERSTAND AND ACCEPT

The minimum or maximum duration of the lamination from the procedure cannot be determined with certainty. *

I UNDERSTAND AND ACCEPT

I will not hold my technician or The Bronze Lily liable for any damages caused to me, my eyebrows and my skin in any way caused by any reason, including an allergic reaction, reaction to previous procedures such as previous henna/tint on the brow hair, skin sensitivity, and my failure to follow the brow lamination after-care instructions. As part of the after-care, apply a moisturizing product to prolong the results. *

I ACKNOWLEDGE AND ACCEPT

Brow lamination is not recommended if you have any of the following conditions or contraindications....please select any that apply: *

PSORIASIS/ECZEMA

RECENT EYE SURGERY

ALOPECIA

MICROBLADING WITHIN THE LAST 6 WEEKS

SUNBURN

SUPER SENSITIVE SKIN

BLOOD THINNERS

PINK EYE

SCAR TISSUE IN THE TREATMENT AREA

PREGNANT/BREASTFEEDING

BROW GROWTH SERUM

RETINOL, ACCUTANE, AHA, BHA, ETC. WITHIN 7 DAYS

Required

FULL NAME, USED AS SIGNATURE *

TODAY'S DATE *

YYYY

TIME *

Time

IF UNDER THE AGE OF 18, PARENT/GUARDIAN NAME, USED AS SIGNATURE *

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