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October  Glow: Lashes , Facials, & Self Care

Take your beauty to new heights with JB Esthetics Memberships!

FREE SHIPPING ON ORDERS OVER $100!

GENERAL INTAKE FORM

COVID-19 Pre-Screening

Are you currently waiting on the results of a COVID-19 test?
Yes
No
Have you experienced any of the following symptoms in the past 48 hours:
Have you had any signs of a fever in the past 24 hours or had a temperature that has elevated 100.0F or greater?
Yes
No
Within the past 14 days, have you been in close physical contact with anyone who test positive with cov-19?
Yes
No

At JB  Esthetics & Cosmetics, we gladly accept both cash and card payments. A $5.00 transaction fee applies to all card payments. To avoid this fee, clients are welcome to pay with cash. deposit made online will already include the processing fee where applicable.


Identification

This is required, this is for your protection and mine.

GENERAL INTAKE FORM

COVID-19 Pre-Screening

Are you currently waiting on the results of a COVID-19 test?
Yes
No
Have you experienced any of the following symptoms in the past 48 hours:
Have you had any signs of a fever in the past 24 hours or had a temperature that has elevated 100.0F or greater?
Yes
No
Within the past 14 days, have you been in close physical contact with anyone who test positive with cov-19?
Yes
No

At JB  Esthetics & Cosmetics, we gladly accept both cash and card payments. A $5.00 transaction fee applies to all card payments. To avoid this fee, clients are welcome to pay with cash. deposit made online will already include the processing fee where applicable.


Identification

This is required, this is for your protection and mine.

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