• CLIENT INFORMATION

  • Format: (000) 000-0000.
  • DOB*
     - -

  • HEALTH HISTORY

  • Is this your first time having lash extensions?*
  • Are you currently being treated for any eye illness or injury?*
  • Do you currently have irritated or itchy eyes?*
  • Do you have allergies or reactions to latex or adhesive?*
  • Do you wear contact lenses?*
  • Do you pick or pull at your lashes?*
  • Are you currently (or possibly may be ) pregnant?*
  • Do you have any of the following conditions?*

  • LASH EXTENSION CONSENT FORM

    • I understand that there are risk associated with having artificial eyelashes applied to and/or removed from my natural lashes.

     

    • 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 immediately and consult a physician at my own expense

     

    • I agree to follow the aftercare instructions provided by my technician. Failure to follow the aftercare instructions can cause the eyelash extensions to fall out.

     

    • I consent to having photos taken for advertising purposes. I understand that these photos may be posted to social media sites.

  • By signing below, I acknowledge that I have read, understood, and agreed to the terms and conditions as well as the booking policies.

  • Date
     - -
  • Should be Empty: