• Lash Intake & Consent Form

  • Format: (000) 000-0000.
  • Is this your first time having lash extensions applied? (With me or any other artist)*
  • Is this your first time having lash extensions removed? (Only answer if you are booking a removal)
  • Do you have oily skin/hair?*
  • Do you wear contact lenses?*
  • Do you have a habit of rubbing or touching your face or eyes/lashes?*
  • How do you usually sleep?*
  • Do you have seasonal allergies or any sensitivities?*
  • Do you have watery, itchy, sensitive or easily irritable eyes?*
  • Are you currently, or have you ever been treated for an eye illness or injury?*
  • Have you had eye surgery in the last 6 months?*
  • Are you currently using eye medication or antibiotics?*
  • Do you use any lash enhancers? (Ex: Latisse)*
  • Are you pregnant?*
  • Is there any reason why you would not be able to lie flat on your back and/or keep your eyes closed for 2-3 hours? (Ex: pregnancy, blood circulation issues,tremors)*

  • I, * , hereby confirm that the answers I provided in the fields above are true and was completed by the signer. I confirm that I have read an understand the policies/rules. I agree to aftercare. I understand that I can opt out of pictures/videos for social media content. I understand that I can and will be removed as a client if any rules/policies are ignored or broken after given a verbal or written warning. I acknowledge the artist’s right to refusal of service for any reason.

  • I acknowledge that my artist will try their best to achieve my desired look but may not be able to give exact results. I agree to a 50% refund and a free lash removal if I am not satisfied with my service. If I am a repeat offender of this (more than twice), I understand that I may be removed as a client.

  • Should be Empty: