PMU training, certification, apprenticeship

Name *

First

Last

Email *

We will be emailing your suggestion photos to this email.

Phone *

Age *

Would you like your virtual consultation completed via email only or would you like us to call you and discuss the results over the phone as well? *

FULL FACE PHOTOS ONLY: The photo uploaded cannot be at an angle. No filters, expressions or makeup, clear and not blurry. We cannot do measurements or complete your virtual consultation without an appropriate photo. Please we need a full face photo. A photo of your eyebrow or lips cannot be used. *

I understand the photo requirements.

A virtual consultation will not be completed without the proper photo format.

Upload your photo here. Front facing, no makeup, no expressions, no filters and not at an angle. Refer to example photo above. *

REMEMBER THAT WE CANNOT DO MAPPING, MEASURMENTS OR COMPLETE AN ACCURATE DIGITAL DESIGN ON PHOTOS THAT DO NOT MEET THE CRITERIA EXPLAINED ABOVE. Max size photo file is 2GB.

Services You Are Interested In: *

Have you ever in your life had a cold sore on or around your lips? *

Do you have pre-existing permanent makeup we will be working on or correcting you received by another provider? *

no
yes

When was the last time you had permanent makeup done or microblading? *

Are you taking anticoagulants or blood thinners? *

no
yes

Are you allergic to anesthetic? Anesthetics are numbing agents. *

no
yes

We use lidocaine and benzocaine. Proper numbing is essential for client comfort and excellent results.

Your Skin: Select all that apply. *

Eyeliner pigment will be applied on.... *

Upper eyelid only
Lower eyelid Only
Upper & Lower Eyelids

Eyeliner wing options *

Yes I want a wing
No I do not want a wing

Eyeliner Color *

CLICK ON ONE EYELINER PHOTO THAT MOST CLOSELY RESEMBLES THE LEVEL OF DRAMA YOU PREFER *

thin conservative
medium thick
dramatic very thick

Type Of Eyeliner Application *

defined liquid eyeliner look
slightly blended or smudgy liner
very blended smokey look like eyeshadow

CLICK ON ONE PHOTO THAT IS CLOSE TO THE TYPE OF LIP FILL YOU PREFER. What type of lip fill do you want? Click on your favorite style. Don't pay attention to color yet. We will look at colors next. *

hard lip liner (you can stay in the natural lip border or over line with any lip liner.
Ombre blended/two tone lip liner and lighter lip blush for fuller looking lips.
Diluted single shade blush or light wash of color. Semi-transparent colors.
Deep shade single color in dark reds, wines, browns ect. Intense colors.

CHECK 1 OR 2 OF YOUR FAVORITE LIP COLORS. Custom colors can be blended for you. This just gives us an idea of what color family you like. Every color can be diluted into a blush or used at full strength to create a vivid look. *

REQUIRED: Lip details and additional information about your lip goals: *

Are you just wanting a wash of color, trying to make your lips look fuller, correcting symmetry issues? Explain your primary lip goals.

Eyebrow Options: Select all that apply *

CLICK ON THE EYEBROW FILL PICTURE YOU LIKE MOST: Do you like ombre powder, combo, solid traditional fill? We will discuss shape and color later. These examples are about how you want the brows filled in only. *

ombre+powder finish fill (best for very light colors)
combo fill - ombre+powder+hair strokes
traditional solid tattoo fill (longest lasting)

Click on the brow head (where brow is closest to nose) that you prefer. *

squared head
rounded head
square round head
square

CLICK ON THE BOX WITH YOUR FAVORITE EYEBROW COLOR *

You selected correction or removal of pre-existing permanent makeup: Please provide details about what you want corrected or removed and how long has it been since the last application to that area? *

You selected breast re-pigmentation: All breast re-pigmentation procedures need an in person consultation. You can provide some details about your goals below but we need to schedule an in person consultation for that procedure. Text 702-475-DIVA to set that up.

You selected scar camo: All scar camo needs an in person consultation. You can provide some details below about your needs but we need to schedule an in person consultation for that procedure. Text 702-475-DIVA to set that up.

Please include as many details as possible about style, shape color you desire for all procedures you are interested in. *

Are you interested in payment plans or buy now pay later?? *

Are you looking for a professional service by Theresa G who has 27 years experience? *

If you have a voucher to be a student model, you are in the wrong place. This virtual consultation is strictly for professional services with Theresa G. This consultation is not for models that students are practicing on! If you select option 2, please exit this form now and go to http://www.vegas3deyebrows.com/book-now and select Student Apprentice Services.

We will get back to you shortly via email with your suggestions and results. Nevada Permanent Makeup does not sell or share your personal information. *

I understand!

You understand your result simulation example photos are simply suggestions and there are endless possibilities. Our virtual consultation is a valuable tool and helps to introduce new clients to exciting permanent makeup possibilities.

Signature *

Permanent Makeup Consultation