Permanent Makeup Request Form

This online request form must be filled out completely prior to booking at The Arch, Cosmetic & Fine Line Tattoo Studio. For new & existing permanent make up clients, this form will be available for use. Please allow some time for me to respond as it can take a bit of time to filter through submissions. I typically book in 2-3 month increments at a time. I’ve been working so hard behind the scenes to roll out this new system for you all. This business is a true labor of love & I look forward to sharing it with you all!

This request form is only for permanent make up services. Eyebrows, Freckles/Beauty Marks & Removal.

PMU Request Form

First name

Last name

Email

Phone

Birthday

Year

Month

Day

Please select:

CURRENT CLIENT

NEW CLIENT

Are you 18 years of age or older?

YES

NO

Please note that in the state of MASSACHUSETTS it is illegal to receive any form of tattooing (permanent make up or body art) under the age of 18. Regardless of parental consent.

Are you currently pregnant or breastfeeding?

YES

NO

Please note that you CANNOT receive any form of tattoo if you are pregnant or breastfeeding from The Arch.

Do you have any health related conditions that would interfere with receiving a tattoo OR hinder the healing ability of your skin/body?

YES

NO

Examples include but are not limited to: active skin/blood disorders, lupus, hepatitis B/C, HIV/AIDS, history of adverse effects to pigments or dyes.

Please list any allergies that may be relevant. Many products contain ingredients from plants, trees, nuts, oils, beeswax, etc.

Enter NONE or N/A if there are no known allergies.

Service requested:

Do you have previous work to your eyebrows?

YES

NO

Please note that previous work MUST be at least 50% faded in order to receive a touch up. All new clients are considered initial sessions, NOT touch ups.

If YES, was your previous work done by Ashley?

YES

NO

If NO, a consultation is required to assess your eyebrows and decide the best plan of action. ALL previous work MUST be at least 50% faded in order to receive a touch up.

Which PMU service are you interested in?

Eyebrows - Hair Strokes (microblading, nano machine)

Eyebrows - Powder (shading/makeup look)

Eyebrows - Combo (both hair strokes and powder looks)

Eyebrows - Unsure which style

Freckles/Beauty Mark

Removal

What is your skin type?

Normal/Dry (small pores)

Oily (large pores and/or gets shiny throughout the day)

Combination (oily in some areas, dry in others)

FOR ANY BROW SERVICE - Please submit a full face photo if you are a new/existing client.

(Max image size is 15MB)

Photo should be taken with no makeup on the brow/forehead area and should not be cropped. Photo should be taken in natural light (in front of a window or in the car is best). Current clients please also submit if requesting a touch up to make sure adequate fading has occurred.

I have read & agree to the following Booking Fee - There is a $50 booking fee for ALL services, that is required to be paid when you schedule your appointment with Ashley. This is non-refundable. This fee will be deducted from your total price after completion of service. The $50 booking fee may be applied & deducted when cancelling with less than 48 hours’ notice. Rescheduled appointments can transfer their booking fee but will still need to pay the cancellation policy, if necessary.*

I have read & agree to the following Cancellation Policy - There is a 48 hour-50% cancellation policy at The Arch. This means that if you cancel without giving at least 48 hours notice or no show, there will be a 50% cancellation fee of the quoted price that you must pay in order to reschedule. Rescheduled appointments are at full service price. (A full policy document & waiver will be sent via email when you schedule an appointment and can be found here)*

By checking this box I understand that by submitting this form it does not guarantee that I receive an appointment at The Arch. I understand that this form is for a request only.