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    Special Event & Photography Make-Up | Make-up ClassesCustom Facial TreatmentsFull Body Waxing ServicesClassic Eyelash Extensions
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Facial Intake Form

  • Contact Information

  • Date Format: MM slash DD slash YYYY
  • Intake Questions

    The following information will be used to determine your treatment plan using professional grade products. Please be truthful and thorough with this information to ensure you Esthetician can properly analyze and treat your skin. All information is confidential.
  • Medication / VitaminReason 

Our Studio

90 West Hwy. 246 Suite 3, Buellton, CA. 93427

(805) 350-9754

RENEE@RENEEJEANMAKEUP.COM

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