Eyelashes extensions

1

full name * This field is required.

Name

Last name

2

Date of Birth

Date

3

Age * This field is required.Must be 18+

4

Cell phone number * This field is required.

Area Code

Phone Number

5

Email

example@example.com

6

Is this your first time having Eyelash Extensions?* This field is required.

Yes

No

7

Are you having any COVID like symptoms ?* This field is required.

Yes

No

8

Do you wear Contacts? _* This field is required.If so, DO NOT wear them during appointments

Yes

No

9

Do you often rub, pull or pick your lashes for any reason?* This field is required.

Yes

No

10

Do you have , or are you being treated for any eye illness or injury?* This field is required.

Yes

No

11

Are you able to lay on your back for 2-3 hours to have your lashes applied?* This field is required.

Yes

No

12

Will you be able to keep your eyes completely closed for up to 2+ hours? ? _* This field is required.*No peeking at cell phone

Yes

No

13

Are you pregnant? ?* This field is required.

Yes

No

14

PLEASE NOTE USE OF OIL BASED PRODUCTS AROUND EYES SHOULD BE DISCONTINUED FOR 48 HOURS AFTER YOUR EYELASH EXTENSION SERVICE. It is also recommended to avoid all oil based products around your eyes for as long as you wear your lashes. Oil based products, waterproof mascaras and liners will loosen the adhesive and your lashes will not last long. * This field is required.

Please initial and date you read and understand the above.

15

For longevity we recommend not to use mascara ( you're lashes will look so glamorous you won't feel a need to), however if you must, be sure it is oil free and remove it daily with an oil free wash. We recommend eye wash, or you may use Sterild or Occusoft ( available at most drug stores). Lash bath kits are also sold on Amazon

Please initial and date you read and understand the above.

16

How do you usually sleep? Please note you will lose more eyelash extensions on the side on which you sleep. Sleeping on your stomach will affect them the most and it is important to refrain from sleeping on your stomach for the first 2 days after your service to allow the adhesive to set properly. _

Side

Stomach

Back

17

Are you allergic to adhesives ( glues, tapes, band aids, etc)? This service may use adhesives tapes, glues and gel pads thaty may cause an allergic reaction. We use a medical grade, formaldehyde free glue, but allergies may still occur.? _* This field is required.

Yes

No

18

Have you had Chemotherapy Treatments in the last 6 months? _Medication for chemotherapy may cause a reaction to the materials used in this service. Also, if lashes are just starting to grow back they may be a little weak and we recommend waiting until they are strong enough for this service. _* This field is required.

Yes

No

19

Do you have Extremely OIly skin and.or hair? Natural oils will break down the adhesives used to bond the eyelash extensions causing the extensions to fall out quicker. This does not mean you cannot have the service, merely it may cause them to fall out quicker.. _* This field is required.

Yes

No

20

I understand that eyelash extensions require ongoing maintenance ( similar to a nail service). Refills are recommended approx. every 2 -2.5 weeks. I understand if I go beyond this recommended time it may need a full set or incure a higher 'relash' price.* This field is required.

Initial

21

I acknowledge and understand that the studio doesn’t do Refunds. Deposits are also non refundable. The lash tech will Do the best that she can to satisfied the customer. * This field is required.

Initial

22

I will seek medical care (at my own expense) and contact my technician immediately if any allergic or adverse reaction occurs. All of my questions were answered and I understand the procedure and risks. _* This field is required.Free Removal will be given to those who experience an allergic reaction.(No refunds)

Initial

23

I agree and understand that the lash tech has no way of knowing if the client is allergic to some of the products or materials been use in any procedure. * This field is required.

Initial

24

I acknowledge that photographs may or may not be taken during this process. * This field is required.

I understand

25

I release my certified lash technician and SLASHED CO from any and all liability associated with this procedure. This service will be performed with the utmost attention to safety, sanitation and proper application using tools and products that the technician has been trained and certified to use. This service has many variables due to lifestyle, moisture, weather, extreme tempatures, natural eyelash shedding and other factors. The technician ( along with my consent form and consultation) will decided if I am a good candidate for this serive to the best of their ability.* This field is required.

Initial

26

* This field is required.

By signing below, I verify that I have read and understand the above statemetns and agree to them. Thank you for the time you took to read, understand and agree to our consent form..

27

Sign date * This field is required.

Date

28

Client signature * This field is required.