Name *

First Name

Last Name

Phone *

(###)

###

####

Date of Birth *

MM

DD

YYYY

Have you ever had brow lamination before? *

Yes

No

Have you tinted your eyebrows in the last 6 months using henna/tint/dye? *

Yes

No

Do you have frequent eye irritation, itching or watery eyes? *

Yes

No

Have you ever had any adverse reactions or allergies? *

Yes

No

Have you microbladed in the last 6-8 weeks? *

Yes

No

You understand that you cannot use the following on your eyebrows 72 hours before your appointment: Betin-A/AHA/BHA/ and you may not exfoliate them either. *

Yes

No

Do you have any medical conditions? *

Yes

No

Are you taking any medication or supplements? *

Yes

No

Although every precaution will be taken to ensure your safety and well-being before, during, and after your brow lamination, please be aware of the following information and possible risks. Please check off: *

I understand that there are risks associated with having a brow lamination and/or tint

I understand there are risks associated with having an eyebrow tint. I further understand that as part of the procedure, skin irritation, itching, discomfort, and in very rare cases, infections could occur.

I agree that even though my technician perms the brows, & tints using the proper technique, thehigh quality products used may irritate my skin or require a physicians follow-up care.

I understand here are no guarantees for the length of time your brow lamination and/or tinting will last and grooming on a regular basis will help achieve better results. I understand post care is required.

I agree to follow all aftercare instructions, including avoiding water on brow area for at least 24 hours

I understand that while every attempt will be made to provide me with the length/ fullness I have chosen, my final result may not be what I initially envisioned.

I understand and consent to having my eyes closed for the entire duration of the procedure.

This agreement will remain in effect for this procedure and all future procedures conducted by my technician. I have read and fully understand all information in this agreement. I am over 18 years of age and consent to the agreement and to treatment. I release my technician from all liability associated with this procedure, which is performed with the utmost attention to safety and proper application using tools and products that the technician has been professionally trained touse. I understand the aftercare instructions and will do my part to maintain my brows. *

I agree

Patch Test *

A patch test is required for Brow Lami & Tint as an extra measure to ensure that the likelihood of you having a reaction to the treatment remains as low as possible

Yes I understand & have agreed to a patch test

Yes I understand however, I'd like to decline the patch test knowing the potential risks of the treatment

Photo & Media Consent *

I give permission for my technician/therapist to take photographs and video recordings, before, during, and/or after my procedure. I give permission for my photos to be used on the company social media channels, website and used for any other marketing purpose. I further understand that there will be no financial remuneration for this.

Yes

No thank you

Late Arrival Policy *

At Unfiltered Beauty, each appointment is carefully reserved to ensure you receive the full attention and service you deserve If you arrive a few minutes late, a one-time grace period will be offered. If you are 10 minutes late to any future appointments, a $25 late fee will apply. If you arrive 15–20 minutes late and I am still able to accommodate you:
 • Your service time will be shortened to stay on schedule
 • A $75 extended time fee will automatically apply for appointments longer than 1 hour If you arrive more than 20 minutes late, your appointment will be cancelled and you will be charged 50% of the full service cost. 
To rebook, you must pay the full cost of a new appointment. These charges apply regardless of the reason — including traffic, parking, or difficulty finding the studio — as appointment slots are booked exclusively for each client. Thank you for understanding and respecting my time and the commitment I make to every client!

I understand & I agree

By signing below, I verify that I have read and understand the above statements and agree to them. *

First Name

Last Name

Date *

MM

DD

YYYY

Rescheduling Policy *

At Unfiltered Beauty, appointment times are thoughtfully reserved just for you. To reschedule your appointment, I require a minimum of 7 days’ notice. This allows me to offer your spot to another client and maintain a smooth booking experience for everyone. If you request to reschedule with less than 7 days’ notice, a rebooking fee will apply. If you request to reschedule with less than 48 hours' notice, you will be charged 50% of your original service. To secure a new time slot, you’ll be asked to pay the rebooking fee or full amount upfront, depending on the timing of the change. These policies apply regardless of the reason for rescheduling, including work conflicts, illness, transportation issues, or weather, as each appointment is carefully scheduled in advance. Thank you for valuing the time and care that goes into preparing for your service.

I understand & I agree