• Lash Extension Consultation + Consent

  • At Studio 23, every set is customized to fit your eye shape, lifestyle, and personal style.

    Please complete this form before your appointment to help create the best experience possible.

    Thank you for choosing Studio 23!

  • Date of Birth*
     / /
  • Format: (000) 000-0000.
  • How did you hear about Studio 23?*

  • Lash History

  • Is this your first time having eyelash extensions applied?*
  • If this isn't your first time getting eyelash extensions, please share any relevant details that will help us tailor your service. Have you experienced any of the following when having eyelash extensions:
  • Have you gotten a lash lift in the last 30 day?*
  • Have you used a lash growth serum in the last 6 months?*
  • Do you have a tendency to pick or pull your lashes?*
  • How often do you wear strip lashes or clusters?*
  • Please check any that apply:*

  • Lifestyle + Retention

  • What side do you primarily sleep on?*
  • Select any of the following activities in which you participate in:*
  • Do you have extremely oily skin and/ or hair?*
  • Do you wear glasses?*
  • Do you wear contact lenses? If yes, please be sure not to wear them for your appointment.*

  • Lash Goals + Consultation

  • Are you wanting eyelash extensions for a special occasion or everyday wear?*
  • What lash style are you most drawn to?*
  • What is most important to you?*
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  • Consent

  • I consent to the application and maintenance of eyelash extensions provided by Studio 23 and understand the following:

    Medical Responsibility:

    I agree to immediately inform my lash artist if I experience discomfort, irritation, swelling, or any unusual reaction during or after the appointment.

    I understand that I am responsible for seeking medical attention if necessary and accept responsibility for any medical expenses related to reactions or complications.

    Acknowledgment of Risks:

    I understand that eyelash extensions involve the use of adhesives, tapes, cleansers, removers, gel pads, and other products around the eye area. While every precaution is taken to ensure safety and comfort, possible side effects may include:

    • Eye irritation
    • Redness
    • Itching
    • Burning
    • Watering
    • Allergic reactions
    • Blurred vision
    • Discomfort or sensitivity
    • In rare cases, infection or injury

    I understand that if adhesive or other products accidentally enter the eye, flushing and/or medical treatment may be necessary.

    Results & Retention:

    I understand that results vary from person to person and that eyelash extension retention depends on factors including:

    • natural lash cycle
    • aftercare
    • lifestyle
    • skin type
    • medications
    • hormones
    • proper maintenance

    I understand fills are typically recommended every 2–3 weeks to maintain the appearance of my lashes.

    Aftercare Agreement:

    I agree to follow all aftercare instructions provided by my lash artist, including but not limited to:

    • Avoid rubbing, picking, or pulling on extensions
    • Clean lashes daily using lash-safe cleanser
    • Avoid oil-based products near the eyes
    • Avoid mascara and eyelash curlers on extensions
    • Avoid excessive heat, steam, pools, or saunas for 24–48 hours after application
    • Sleep carefully to minimize friction 

    Failure to follow aftercare instructions may negatively affect retention and results.

    Professional Acknowledgment:

    I acknowledge that services are performed by a trained and licensed esthetics professional using proper sanitation, application, and safety procedures.

    Liability Release:

    I voluntarily consent to receiving eyelash extension services and release Studio 23, Samantha Aldaba, and all affiliated parties from liability related to allergic reactions, sensitivities, injuries, or complications that may occur as a result of this service, except in cases of gross negligence.

  • Consent Confirmation:*

  • Policy

  • Appointment & Cancellation Policy:

    We kindly ask for at least 24 hours notice for cancellations or rescheduling.

    Appointments canceled within 24 hours, late arrivals beyond 15 minutes, or no-show appointments may result in a fee equal to 50% of the scheduled service.

    Repeated no-shows or last-minute cancellations may require prepayment for future bookings.

    Late Policy:

    Clients arriving more than 15 minutes late may need to reschedule depending on the remaining appointment time.

    Refund Policy:

    Due to the nature of lash services, refunds are not offered.

    If you experience concerns with your lashes, please contact Studio 23 within 48 hours of your appointment so we can assess and correct the issue if appropriate.

    Guest Policy:

    To maintain a relaxing environment, additional guests and children are discouraged unless previously approved.

  • Photography & Social Media Consent

  • Studio 23 Experience

    Your appointment is more than just lashes - this section helps personalize your Studio 23 experience to ensure you feel comfortable, relaxed, and completely taken care of. 
  • What describes you best?
  • What type of appointment vibe do you prefer?
  • What's your go-to drink/snack?
  • What would you like to listen to during your appointment?
  • Current obsessions/favorites:
  • Should be Empty: