Waxing + Tinting - Arch Brow Bar

Name *

Date of Birth *

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Text Alerts? *

Yes
No

Email Alerts? *

Yes
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Emergency Contact *

Emergency Contact Phone *

How did you hear about us?

Referred By

What are your interests?

Are you currently using any topical over-the-counter or prescription medications for Acne on your face? *

Yes
No

Please list your topical over-the-counter or prescription medications for Acne *

Have you had any waxing abrasions in the past? *

Yes
No

Please list when you had wax abrasions *

Are you taking any oral medications that may cause sensitivity to sunlight? *

Yes
No

Please list when you had oral medications that may cause sensitivity to sunlight *

Have you had any recent microdermabrasion treatments, chemical peels or sunburn on your face in the past 2 weeks? *

Yes
No

Please list any and all recent microdermabrasion treatments, chemical peels or sunburn on your face in the past 2 weeks *

Are you currently using any skin care products containing retinol or any anti-aging or resurfacing products? *

Yes
No

Please list the skin care products containing retinol or any anti-aging or resurfacing products *

Do you have any allergies? *

Yes
No

Please list your allergies *

I am aware I must wait 24 hours before receiving any kind of service or treatment at Arch Brow Bar if I have received Botox and/or cosmetic fillers of any kind. I agree to update my browista/technician at every future appointment, PLEASE INITIAL *

I am aware waxing may cause redness, swelling, breakouts, hives, skin tearing, and skin irritation, PLEASE INITIAL *

Please inform your Browista or technician of any changes in your skin care routine as changes may affect your skin, PLEASE INITIAL *

Date *

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