Aesthetics by Lauren
Lash consultation form
Full Name
*
First Name
Last Name
Phone Number
*
Format: (000) 000-0000.
Pronouns
Date of birth
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Must be above the age of 15 to get lashes*
I grant permission to Lauren McCurdy to take before and after photos and videos for marketing and example purposes
*
Yes
No
Is this your first time getting lash extensions?
*
Yes
No
Do you wear contacts? If yes, please plan ahead to have them removed during the service
*
Yes
No
How do you usually sleep? Please note you will lose more lash extensions on the side of which you sleep. Sleeping on your stomach will affect them the most.
*
Side
Stomach
Back
Have you ever had an allergy/sensitivity to lash glue?
*
yes
no
If yes, please explain a little of what happened.
Do you have any medical conditions, allergies, or medications that may affect your lash service?
*
If yes, please specify, if not put no.
I understand that results and retention vary from person to person and cannot be guaranteed. Factors including my natural lash growth cycle, lifestyle, medications, hormones, skincare products, sleeping habits, and aftercare may all affect how long my lash extensions last.
*
I understand that a minimum of 24 hours' notice is required to cancel or reschedule an appointment. Appointments cancelled with less than 24 hours' notice and no-show appointments will be charged 50% of the scheduled service. By signing below, I authorize Lauren McCurdy to charge the card on file for applicable cancellation or no-show fees.
*
I understand that while every precaution is taken to provide a safe and sanitary service using professional products and techniques, there are inherent risks including irritation, allergic reactions, sensitivity, and varying retention due to factors outside the lash artist's control. I acknowledge these risks and consent to receiving the service.
*
Initial
I understand that allergic reactions cannot be predicted or guaranteed against, even if I have previously received lash extensions without issue.
*
Initial
I confirm that I do not currently have any eye infections, contagious conditions, styes, conjunctivitis (pink eye), or any other eye condition that may make it unsafe to receive lash extensions. I understand that the lash artist reserves the right to refuse service if any condition is present that could affect my health, safety, or the quality of the service.
*
Initial
Full Sets vs. Fill Appointments. A fill appointment is intended to maintain an existing set of lash extensions. To qualify as a fill, clients must have enough lash extensions remaining to reasonably maintain the existing set. If you arrive with excessive lash loss, significant outgrowth, or if your appointment requires approximately the same amount of time and product as a new application, it may be reclassified as a full set. This determination is made solely at the lash artist's professional discretion based on the condition of your lashes at the time of your appointment. If your appointment is reclassified as a full set, the full set price will apply.
*
Initial
I understand that I am to come alone to my appointment, as having a plus one creates a distraction to the service being provided
*
Initial
I understand that all lash services are non-refundable.
*
Initial
I understand and respect that the salon has a zero-tolerance policy for discrimination, harassment, or abusive behaviour of any kind. Anyone who violates this policy will be asked to leave and may be refused future services to ensure a safe and welcoming environment for everyone.
*
Initial
I understand and acknowledge that this contract applies to both full sets and fills
*
Initial
Thank you for giving me the time to get to know you and signing the consent form, it will help maximize your lash experience!
*
By signing below, I confirm that the information I have provided is true and accurate to the best of my knowledge. I have read and understood this consent form, have had the opportunity to ask questions, and voluntarily consent to receiving lash extension services..
Signed date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Signature
*
LASH ME UP!
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