MM DREAM LASHES & BEAUTY Consent Form
Thank you for choosing MM Dream Lashes & Beauty.
Name
*
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
*
example@example.com
How did you hear about us?
*
Friend
Instagram
Facebook
Other
Please list ANY known allergies
*
Including adhesives, glues, tapes, bandaids, etc. or N/A
Have you ever had eyelashes extensions before?
*
Yes
No
Do you have oily skin? Natural oils will break-down the adhesives used to bond the eyelash extensions causing the eyelash extensions to fall out.
*
Yes
No
If photos/videos are taken, I give consent to the use of my before/after photos/videos for marketing and social media purposes for MM Dream Lashes & Beauty LLC
*
Yes
No
Please agree to the terms and conditions
*
I hereby agree to have eyelash extensions applied to my natural lashes and consent to the placement and/or removal of the eyelash extensions by the certified professional.
I understand and agree to the after-care instructions and for any unexpected circumstance that have happened due to not following these instructions are in my own risk.
I understand that in rare occasions there are risks associated with having artificial eyelashes. I further understand that in rare circumstances eye or skin irritation and discomfort may occur.
*
Fully read and understood cancellation policy
I Understand $25 Deposit Required to Secure Appointment.
Date
*
-
Month
-
Day
Year
Date
Client Signature
*
*
I am not presenting any of the following symptoms of COVID-19 listed below:
Fever
Cough
Shortness of breath or difficulty breathing
Sore throat
Congestion runny nose
Submit
If you’re under 18 years of age a parent or guardian must sign below.
Should be Empty: