Appointment Approval Request

Lotus Brow Studio

First name

Last name

Birthday

Year

Month

Day

Email

Phone

How did you hear about this service?

The following does not apply to me

Pregnant or breastfeeding

Have a pacemaker/heart conditions

Diabetic (insulin dependent)

Epilepsy (prone to fainting)

Open wounds, rashes, and/or any skin conditions on the procedure area

Blood disorders

Check ALL those that do not apply to you.

Check this box to confirm that all the information provided above is accurate to your knowledge.

Do you have brow work from another artist?

What service are you interested in?

More details

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