Anita's Cosmetic Tattoo Skin Clinic

Name:

Email:

Mobile:

Address:

Date of Birth

Date of Treatment

Emergency Contact

Treatment you are having

Eyebrow Tattoo

Eyeliner Tattoo

Lip Blush Tattoo

Skin Needling

Scalp Micropigmentation

Please read and tick the appropriate boxes.

I understand the technician performing the treatment is either unqualified or qualified and learning a new technique.

I understand the discounted model fee is paid prior for both the initial and touch up treatment.

I understand tattooing requires 2 treatments 2 - 8 wks apart (depending which type of tattoo)

I understand results may not be perfect, but will be adjusted at the touch up (by a senior if required-assessed by Anita)

I understand no refunds are given under any circumstances.

I understand the treatment will be partially or fully supervised (depending how many treatments the tech has done)

I agree to have my before and after photos/videos used on social media (where applicable.)

If you are a successful applicant you'll be require to fill in the pre Treatment Client Forms and pay a deposit.

Thank you for contacting us.
We will get back to you as soon as possible.

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