Eyebrow lamination CONSENT FORM

Name *

First Name

Last Name

Phone *

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Birthday *

MM

DD

YYYY

I agree to have eyebrow lamination, tinting and shaping (with a brow razor) done. By signing this agreement, I consent to the eyebrow lamination procedure done by Lashes by Shelby. *

Agree

I understand there are risks associated with eyebrow lamination. I further understand that as part of the procedure, skin sensitivity, skin irritation, discomfort, and allergic reaction can occur. I agree that if I experience any of these medical conditions, I will consult a physician at my own expense. I understand that even though Lashes by Shelby uses the proper technique, the instruments, cleaners, and products used may irritate my skin or require a physician’s follow up care. *

Agree

I understand and agree to the care instructions provided by Lashes by Shelby for the use and care of my eyebrow lamination. I realize and accept the consequences of failure to adhere to these instructions may result in decrease the longevity of the eyebrow lamination. *

Agree

I am informing Lashes by Shelby, of the following conditions *

Current sunburn

Current allergies or sensitivities

History of recurrent skin conditions

History Claustrophobia

Recent History of Chemotherapy

Other medical conditions which would prohibit skin irritation or hair loss

None of the above

I agree to the following eyebrow lamination post-op and maintenance instructions *

1. No water can come in contact with the eyebrows for 24 hours following the procedure 2. Brush the eyebrows into place every morning and evening with a spoolie 3. Apply an oil to the eyebrows every evening to help maintain hair health and shape 4. No continuous pulling or rubbing of the brow hairs

Agree