Eyelash ExtensionsConsent Form
Name
First Name
Last Name
Phone Number
Pleas enter a valid phone number.
Format: (000) 000-0000.
Date Of Birth
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Appointment Date
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Do you wear contacts?
blanks
I Consent to the application,removal,and or re-touching of the Eyelash Extensions to the Natural Lash by the artist below.
I understand the risk associated with the application and/or removal of Eyelash Extensions to the natural Lash.
I understand that irritation,redness,itching,and watering of the eyes may occur during and/or immediately after the service.
I understand and agree that if any of these issues persist. I will contact the artist and may have the Eyelash Extensions removed.
I agree to follow the aftercare instructions given and realize that the failure to follow these instructions may result in the decreased life of my extensions and/or damage to the natural Lash
I consent to having my before and after photos taken for advertising purposes. I understand that these photos may be posted to social media sites.
By signing the form. I am acknowledging that I understand the terms of this service as well the information listed above. This agreement will remain in effect for the duration of the service. And any proceeding Eyelash Extension services in the future conducted with this artist. I consent to this agreement and Eyelash Extension application/removal services.
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