Name *

First Name

Last Name

Phone Number *

Country

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Procedures *

What procedures are you interested in? Please select all that apply.

Brows: Mircoblading/Hair Stroke

Brows: Powder Fill

Brows: Combo

Brows: Color Boost (Must have been previously performed by Liz for Color Boost Pricing)

Brow: Corrective

Lips: Blushed/Natural

Lips: Airbrushed/Lipstick

Lips: Ombre

Lips: Corrective

Cheek Blush

Face Contouring

Periorbital Concealer

Eyeliner: Lash Enhancement

Eyeliner: Top or Bottom

Eyeliner: Top & Bottom

Eyeliner: Winged

Eyeliner: Corrective

Eyeliner: Color Boost ((Must have been previously performed by Liz for Color Boost Pricing)

Eye Shadow

NAC/Nipple Areola Complex

Scar Camouflage (Non Areola)

Hair Micro-Pigmentation: 1/2 Scalp

Hair Micro-Pigmentation: Full Scalp

Hair Micro-Pigmentation: Beard

Hair Micro-Pigmentation: Hair/Spot Treatment

Prepare/Aftercare Forms *

Please read these before scheduling an appointment as you are responsible for meeting all prior criteria. Deposit will be forfeited if appointment can not be performed on the day due to negligent planning on your part.

Yes I have read and understand the Prepare instructions

Aftercare *

Yes I have read and understand the Aftercare instructions