• Lash Lift & Tint Waiver

  • Format: (000) 000-0000.
  • which service are you booked for?*
  • select all that apply*
  • By checking the following boxes, confirm that you willingly consent to the following terms and conditions:*
  • Date of Appointment *
     - -
  • By signing below, I verify that the information I have provided on this form is truthful and accurate. If under 18, please have a parent / guardian sign on your behalf.
  • Today’s Date*
     - -
  • Should be Empty: