Lash Lift & Tint Consent Form

Lash Lift & Tint Consent Form

Welcome to Lash Lift Goddess! I look forward to providing you with the best lash/brow enhancement available! The procedure is detail-oriented and applied with great care and precision. I take all measures and precautions to ensure your time with me is relaxing and comfortable.
Date

DayMonthYear
Date
Name*

First NameLast Name
Birth Date*

MonthDayYear
Phone Number*
Please enter a number that can receive texts
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact*

First NameLast Name
Mobile Number*
Please enter a valid phone number.
Relationship

ParentPartner/SpouseFriendOther

Medical History & Contraindications