GLAMLY ESTHETICS

GLAMLY ESTHETICS

Eyelash Extension Consent Form
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
I First Name Last Name 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 licensed eyelash extension professional.
By checking the following boxes, confirm that you willingly consent to the following terms and conditions
By checking the following boxes, confirm that you willingly consent to having the treatment during the COVID-19 pandemic: *
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Signature
Should be Empty: