The Wink Wirral – Digital Client Consent Form

the wink wirral

Where Brows Speak Louder Than Words

Client Consent Form

Technician:

Date & Time:

Client’s Details

Name:

Phone:

Address:

E-mail:

Allergies: (Y/N)

Y N

Sensitive skin: (Y/N)

Y N

Client’s Consent

IMPORTANT PLEASE READ BEFORE SIGNING

**Patch Test & Treatment Awareness:** I am aware I am required to take a patch test 24 hours prior to getting my eyebrows or eyelashes tinted, waxing, hair colouring, or eyelash extensions/lash lifting treatment. I confirm I have had a patch test with The Wink Wirral min 24 hours prior to my treatment **OR** I am a regular client for these services with no known allergies. I understand the risks involved in these treatments and agree not to make any claim against The Wink Wirral, its Directors, or staff for injuries or allergies caused as a result of the services.

**Health Disclosure:** I have informed the technician if I am **PREGNANT** or on any **MEDICATION** before the start of treatment. I have been verbally advised about aftercare precautions.

*The wink wirral, its staff and directors will not be responsible for any injuries or reaction caused as a result of these treatments.*

Agreement

By checking this box and signing below, I acknowledge that I have read, understood, and consent to the above checklist, health disclosures, and patch test agreement.

Client’s Signature:

Technician’s Signature: