Beauty Services Client Form

This form is required for all walk-in brow, waxing, and lash services.

Please take a moment to complete the information below before your appointment. This helps your service provider understand your skin, health history, and any sensitivities to ensure a safe, comfortable experience and the best possible results.

All information provided is kept confidential and used only to tailor your service and aftercare. If you have any questions or concerns while filling out this form, our front desk team is happy to assist you.

First name

Last name

Birthday

Month

Day

Year

Phone

Email

Address

Health & Skin Disclosure

Please check all that apply:

I am currently pregnant or breastfeeding

I am using Retinol, Accutane, or prescription acne medication

I have sensitive skin

I have allergies (please list below)

I have had a reaction to waxing, tint, or lash services in the past (please list below)

None of the above

If yes please explain here

Important Acknowledgments

Please read and check each box:

I understand that results vary based on skin type, hair growth, and aftercare

I confirm I am not using products or medications that would contraindicate today’s service

I understand mild redness, sensitivity, or irritation may occur and is temporary

I have disclosed all relevant medical or skin information

Aftercare & Liability Release

I acknowledge that I will received information regarding proper aftercare and agree to follow all recommendations provided by my service provider.

I release Thirdeye Studio, its owners, and artists from liability related to this service, provided all procedures were performed according to standard professional practices.

Signature

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Date

Month

Day

Year