Waiting List Name(Required) First Last Phone(Required)Email(Required) Date of Birth(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Which techniques are you interested in?(Required) Eyebrow Microblading Soft Ombre Brows Combo Brows Microshading Lip Blush Scalp Micropigmentation Please submit unfiltered photos of your eyebrows. One WITH makeup and 3 WITHOUT makeup. If you have old tattooed eyebrows, please submit one frontal photo of those as well. Do not crop. Tip: Stand in front of a window during the day for the best natural lighting.Photo #1: With makeupMax. file size: 2 MB.Photo #2: Bare Brows (Frontal)Max. file size: 2 MB.Photo #3: Bare Brows (left brow)Max. file size: 2 MB.Photo #4: Bare Brows (right brow)Max. file size: 2 MB.Photo #5 Tattooed browsMax. file size: 2 MB.Please submit a NON FILTERED photo of your bare lips standing in front of a window for the most natural lighting.Are you 18 years old or older?(Required) Yes No Have you had a history of cold sores or lip blisters?(Required) Yes No Are you a smoker?(Required) Yes No Have you read to see if you're a good candidate for lip blush tattooing?(Required)(Same day cancellations will be charged 50% of the total procedure amount. Please make sure you’re a good candidate to avoid cancellations.) Yes No Have you ever had previous lip tattoo?(Required) Yes No If yes, Where? When? Who was your artist? Share your experience in a short paragraph.Anything else you'd like our artist to know?By filling out this form, you understand that you have read the contraindications listed on our website and you are a good candidate for PMU services. This form does NOT complete your booking, it is only to get added to the waitlist so that you will get notified once we are ready to reopen our booking calendar. We may also contact you for last-minute openings. Thank you for considering Brow Lady Microblading Studio as your artist.
