Eyelash Extension Consent & Appointment Form
LA Beauty
Client
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
By checking the following boxes, confirm that you willingly consent to the following 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.
I understand that because of the natural lash cycle and wear and tear, I will need to maintain my extensions with fill appointments every 2 to 3 weeks to keep them full.
By checking the following boxes, confirm that you willingly consent to having the treatment during the COVID-19 pandemic:
I am aware of the risks of having personal services during the pandemic.
I understand that physical distancing of 6 feet may not be possible while in the salon receiving services.
I confirm that I have not travelled internationally within 14 days.
I do not have any of the following COVID-19 symptoms: cough, shortness of breath, high fever, muscle pain, body ache, nausea, loss of taste, loss of smell.
I have not been in contact with anyone that may have COVID-19 symptoms or has been infected in the past 2 weeks.
I understand I may not bring children or anyone else who does not have an appointment into the treatment room.
After Care - By checking these boxes you confirm that you have read how to care for your lashes. LA Beauty guarantees lashes for 48 hours after service, retention after that will be determined by your aftercare.
I understand that any products with oil in them will reduce the life of my extensions.
I understand that picking or excessive touching will reduce the life of my extensions.
I understand that I must wash my lashes 2-3 times a week with a lash shampoo to reduce the build up of natural oils.
I understand that lash extensions need to be maintained with fills every 2-3 weeks, and that after 3 weeks it will be a full set of lashes versus a fill.
I understand that to maintain good lash health should the time come I no longer want to maintain my lashes I will have them professionally removed by a certified artist.
I understand that retention less than 40% is considered a fullset
Do you have any known allergies?
Yes
No
If yes, please list:
Are you pregnant or nursing?
Yes
No
By checking the boxes you have read and agreed to the following policies:
I acknowledge that guests are not allowed during appointment times
Appointments will be cancelled when 10 minutes late as quality cannot be ensured without adequate time
A $30 booking fee is required when booking. Booking fees are non refundable, they are transferable if the appointment is changed at least 24 hours in advance. Last minute cancellations (within 24 hours) forfeit the booking fee completely.
No shows will be charged full price of the service.
I agree to notify LA Beauty in advance if my lashes are less than 40 % at the time of fill so I can change my fill to a full set appointment. And ensure adequate time to make them perfect!
Services are NOT refundable
I verify that the information I have provided on this form is truthful and accurate.
Date
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Month
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Day
Year
Date
Client Signature
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