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microblading Release

and disclosure form

Inquire for microblading

Full Name

Date of Birth * required

Email

Code

Phone

Do you have any skin diseases? (Yes/No, if yes- please explain)

Do you have any health problems that may effect the microblading process? (Yes/No, if yes- please explain)

Do you have any allergies? (Yes/No, if yes- please explain)

Disclosure and Release Agreement

PLEASE READ AND CHECK THE STATEMENTS BELOW TO INDICATE: I UNDERSTAND THE FOLLOWING COMPLETELY.

Please confirm you are over the age of 18

I understand semi permanent makeup does fade over time due to environmental and lifestyle factors.

I grant permission of my artist to take before/after photos of my brows which can be used for advertising or social media

We can't wait to work with you!

Have questions about microblading? Are you ready to discuss your brow goals? Let's connect!

Location
317 Yakima Valley Hwy Suite A, Sunnyside, WA 98944

Contact Janai

all rights reserved | site credits

Sunnyside, WA

instagram
@janaisesthetics

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