Lash Extension Model Application Form
Full Name
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Date of birth (must be 18 or older)
*
Upload a Clear, Makeup-Free Full Face Photo(This helps me evaluate your eye shape and natural lashes. Good lighting, please!)
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Are you comfortable on camera?
Yes
No
Are you willing to sign a release form, allowing me to take photos, videos of you and your lashes to be used on social media
Yes
No
Have you ever had lash extensions?
Yes
No
Do you regularly get lash extensions?
Yes I get them frequently
Occasionally
I rarely get them
No this would be my first time
when was the last time you had lash extensions
Within the last month
1-3+ months
more than a year
Do you have any of the following (check all that apply)
Eye sensitivity or allergies
Recent eye surgery or eye infections
Lash lift or tint in the last 8 weeks
None of the above
Are you comfortable with me choosing the curl, length and style of the lash set for the model sessions?
Yes
No
Are you available to lie still for 2-3 hours?
Yes
No
Anything else I should know about your eyes, lashes, or sensitivities?
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