Eyelash Extension Consent Form

Name*

First NameLast Name

Phone Number*

Format: (000) 000-0000.

Email*

example@example.com

Are you over the age of 18?

AgeD.O.B

*NOTE: if you are under the age of 18, parent/legal guardian signature will be required at the bottom.

YesNo

Date*

Date

I hereby agree to have eyelash extensions applied to my natural lashes and consent to the placement and/or removal of the eyelash extensions by the certified professional.I understand and agree to the after-care instructions and for any unexpected circumstance that have happened due to not following these instructions are in my own risk.I understand that because of the natural lash cycle and wear and tear, I will need to maintain my extensions with touch up appointments usually recommended about every 2 to 3 weeks to keep them full.I agree to having my before and after pictures taken for advertising and safety purposes, I understand these photos may be posted to social media sites.I understand and consent to my eyes being closed for approximately 2-3 hours, times may vary depending on number of eyelashes.I understand my deposit and any other payments may be non refundable and any sales and services are final.I agree to the policy’s listed on the highlights of your instagram and have read and reviewed them thoroughly.I understand I have a 10 minute grace period before my appointment is canceled, and cancellations or no shows have a requirement of half the service payment.I consent to having uv light lashing application used on me by the certified professional.

Any questions or concerns, please feel free to leave them down below.

Client initial*

Parent initial