Name *

First Name

Last Name

Birth Date

MM

DD

YYYY

Phone

(###)

###

####

I understand and have read the cancellation policy that a NON-refundable deposit will be required in order to book* *

YES, I Understand.

NO, I will go back and read the policies before filling out this form!

Have you received any Microblading, Tattoo, or Permanent Makeup before? *

Yes

No

Have you read over the FAQ, Pre/After-care pages on website as instructed? *

Yes

No

What is your skin type? *

Normal / Dry (little to no pores)

Combination

Oily (larger pores, texture)

Which service are you interested in booking? (Please note some services are not suitable for everyone) *

Lip Blush

Powder Brows

Shaded Eyeliner

Lash Enhancement

Freckles / Beauty Mark