Limited Time Offer: Lash Extensions Consent Form

Lash ext. model call: New client intake form & booking policies

*****You are agreeing to book a discounted lash extension appointment. This service is being offered at a reduced rate for training, practice, and portfolio-building purposes.
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Have you ever experienced an allergic reaction to lash adhesive, tape, gel pads, or cosmetic products?
Do you wear contacts?
Are you currently pregnant or breastfeeding?
Do you have sensitive eyes?
Have you recently undergone eye surgery or any medical procedure involving your eyes?
Do you have any skin conditions around the eye area?
Please list any allergies you have!! If none, type n/a
Inportant information to acknownledge.

Please read all parts carefully before booking in advanced.
LIABILITY RELEASE: I certify that the information provided on this form is accurate and complete. I understand the nature of eyelash extension services and acknowledge that possible risks include, but are not limited to, irritation, redness, allergic reaction, sensitivity, discomfort, watering eyes, and premature lash shedding. I voluntarily consent to receive lash extension services and release the lash artist from liability arising from normal risks associated with the procedure, except in cases of gross negligence or misconduct.
Sign with your Initials
1. I understand this lash extension service is being performed by a beginner lash artist who is currently improving speed and technique.
2. I understand appointment times may take significantly longer than a standard lash appointment and may exceed 5-6 hours.
3. I understand I must arrive with a completely open schedule and allow sufficient time for completion of the service.
4. I understand results may not be identical to inspiration photos and that lash styling may be adjusted based on my natural lashes.
5. I understand discounted pricing reflects the educational nature of this service, extended appointment time, and practice experience.
6. I understand perfection cannot be guaranteed and corrections may be needed at future appointments.
7. I understand this appointment may require me to remain lying down with my eyes closed for an extended period of time.
8. I understand I should not schedule work, events, or other appointments immediately following this service.
9. I give the artist permission for before-and-after photos and videos to be taken and used for educational, portfolio, marketing, and social media purposes.
Cancellation Policies
1. Cancellation/Rescheduling with less than 24 hours' notice affects my time and productivity, please notify me over any issues regarding your appointment time. All deposits are non-refundable.
2. Be Deposit Ready. A $25 Non refundable deposit is required to secure your appointment.
3. No call/no shows forfeit your ability to book future appointments indefinitely.
4. I understand arriving more than 30 minutes late will result in a cancellation & rescheduling my appointment.
5. My appointment time is reserved specifically for me, so I understand that I must have a clear and open schedule.
Client Name (Signature)
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Licensed Cosmetologist: Camila L. - Scene By Yang LLC
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Lash ext. model call: New client intake form & booking policies