Lash Extension Model Registration Form
Register your interest to be a lash extension model and indicate your availability.
Full Name
*
First Name
Last Name
Age
*
Email Address
*
example@example.com
Instagram Handle (if applicable)
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Contact Method
*
Email
Phone
Either
Availability (days and times you are usually free)
*
What days/times are you usually available?
Are you available on short notice?
Yes
No
Have you had lash extension previously?
*
Yes
No
If yes, when was your last set?
Do you currently have lash extensions on?
Yes
No
Do you currently have lash extensions on or have had a lash lift in within the last 6 week?
Do you have any known allergies to lash adhesive or beauty products?
*
Yes
No
If yes, please explain.
Do you have any of the following (please select all that apply);
*
Sensitive eyes
Any current eye conditions (irritation, infections, recent surgery?)
Water Eyes
Have you ever had a reaction to lash extensions before?
Other
Please upload a selfie. straight on from the front.
*
Upload a File
Drag and drop files here
Choose a file
Cancel
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Do you have any preferences when it comes to lash extensions? If yes please explain.
I will take all personal preferences into account, however as it is a FREE model set I will have a certain style or set that I will be doing during the appointment. Do you agree to this?
*
Yes
No
I understand this is a model appointment and will take longer than a usual set. Can you allow 3-4 hours for the service to be performed?
*
Yes
No
I understand this set may be used for training and/or content creation.
*
Yes
No
Do you consent to being filmed/photographed?
*
Yes
No
I will arrive clean lashes (no makeup around the eyes, no strip lashes)
*
Yes
No
I understand that I may not be selected or it may be a while before I do.
*
Yes
No
Do you consent to photos/videos being used on social media?
*
Yes
No
Anything else you'd like me to know?
Signature
*
Continue
Continue
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