Eyelash Extension Consent Form

Name

First NameLast Name

Phone Number

Format: (000) 000-0000.

Email

example@example.com

Birthday

Date

How did you hear about us?

Health History | Please check any of the following that applies to you

Have you ever had eyelashes extensions before?

Do you wear contact lenses?

Information you would like me to know

Please agree to the terms and conditions

Please agree to the following policies

Model Specific Information:

Model sets are pre-determined by Hailey and she will choose what will be most flattering to your individual eye shape.

All model sets will be photographed and posted to social media websites! Media captured may include: Video footage, photos and time-lapse.

Please avoid waterproof mascara for 2-3 days prior to your appointment. If you would like to apply make-up before after media is captured please disclose to Hailey so she can plan accordingly. Any make-up worn around eyes prior to appointment will be removed in the cleansing process.

By signing this form, I Full Name* verify that I have read, understand and properly filled out the above statements and agree to them.

Date

Client Signature