New Client & Consent Form

  • New Client & Consent Form

  • Format: (000) 000-0000.
  • Birthday*
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  • Have you had eyelash extensions before?*
  • Have you ever had an allergic reaction when getting your eyelashes done?*
  • Are you able to lay on your back for at least 2-3 hours each appointment?*
  • Do you wear contacts?*
  • Do you have an eye illness, are being treated for an eye illness, or have had Lasik Surgery in the past 4 months?*
  • Do you rub, pull or pick your eyelashes?*
  • Are you currently pregnant?*
  • How do you sleep?*
  • Have you gotten a Lash Lift and/or Tint in the last 30 days?*
  • Do you give Beautified By Maria permission for any pictures/videos taken before, during, and after the appointment?*
  • Do you give Beautified By Maria permission to post any pictures/videos taken before, during, and after the appointment for Marketing or Training purposes?*
  • By checking the following boxes, you are confirming that you willingly consent to the following terms and conditions:*
  • By checking the following boxes, you are confirming that you willingly consent to Beautified By Maria's Policies:*

  • Thank you for giving me your time and answering these questions as they are important for me to get to know you!

     

    I verify that the information I have provided on this form is truthful and accurate. I have read, understand, and checked all the terms and conditions. I release Beautified By Maria and all of the parties related to the studio from any and all of the claims and demands associated with her beauty services. 

  • Date*
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  • Should be Empty: