The Honest Beauty Bar Form (First Time Clients)

  • The Honest Beauty Bar Form

    EYELASH EXTENSION CLIENT INTAKE FORM

  • The following forms are required to ensure the safety of the lash technican and the client.  It will also make the experience smooth and more enjoyable for the both of us.  If you have any questions or concerns about the form please email thehonestbeautybar@gmail.com or DM @thehonestbeautybar on Instagram.

  • Client Information

  • Birthday
     - -
  • Format: (000) 000-0000.

  • Eyelash Extension Questions

  • Is this the first time you have had lash extensions?*
  • What set did you book or are you looking to get?*
  • What style are you looking to get?*
  • What curl are you looking to get?*
  • What is your preferred lash length?*
  • Do you have any reference or inspo photos?*
  • Would you like to add an additional service to your lashes?*

  • Do you use any of the following products on your eyelashes?

  • Mascara?*
  • Lash Serum ?*
  • Do you do any of the following services to your lashes?*

  • Medical History

  • Do you wear glasses?*
  • Do you wear contact lenses?*
  • Do you have frequent eye irritation or watery eyes?*
  • Are you Pregnant?*
  • Have you or are you currently being treated for an eye injury?*
  • Are you allergic to any of the following?*
  • Are you currently taking any medication or supplements?
  • Do you have any of the following conditions? (Please check all that apply)*

  • By signing below, I agree to the following:

    I have completed this form to the best of my ability and knowledge. I agree to inform the technician of any changes in the above information. I agree that I do not have any condition(s) that would make the requested treatment unsuitable. I will inform the technician of any discomfort I may experience at any time during my treatment to allow them to adjust accordingly. I agree to waive all liability toward my technician and the salon for any injury or damages incurred due to any misrepresentation of my health.

  • Date*
     / /

  • The Honest Beauty Bar

    Eyelash Extension Consent Form

  • I      agree to have eyelash extensions applied to my natural eyelashes and/or removed and retouched. By signing this agreement, I consent to the placement and/or removal of the eyelash extensions by the certified eyelash extension professional.
    Although every precaution will be taken to ensure my safety and wellbeing before, during and after my lash extension application, I am aware of the following information and possible risks. Please read and check all boxes :       
      
       
          
     
      
      
       
      
         
          
    I am informing the certified eyelash extension professional of the following conditions that apply to me (check all that apply):
     
     
       
      
       
     
       
     
          
    -No waterproof mascara
    -No oil based products around the eye area
    -No water can come in contact with the eye area for 24 hours after the application
    -No tinting or perming of eyelash extensions
    -No pulling or rubbing of the eyelash extensions
    -Should any kind of eye drops be necessary extra care should be taken to prevent moisture from coming into contact with the eyelash extensions 

  • This agreement will remain in effect for this procedure and all future follow-ups conducted by the certified eyelash extension professional. I understand that this consent agreement is legal and binding. I have read and fully understand all information in this agreement. I am over the age of consent and accept the agreement and the eyelash extension application procedure.

  • Date
     - -
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  • Should be Empty: