𝐄𝐘𝐄𝐋𝐀𝐒𝐇 𝐄𝐗𝐓𝐄𝐍𝐒𝐈𝐎𝐍 𝐂𝐎𝐍𝐒𝐄𝐍𝐓 𝐅𝐎𝐑𝐌 𝐓𝐡𝐚𝐧𝐤 𝐲𝐨𝐮 𝐟𝐨𝐫 𝐛𝐨𝐨𝐤𝐢𝐧𝐠 𝐰𝐢𝐭𝐡 @𝐚𝐫𝐥𝐞𝐭𝐥𝐚𝐬𝐡𝐜𝐨! 𝐏𝐥𝐞𝐚𝐬𝐞 𝐜𝐨𝐦𝐩𝐥𝐞𝐭𝐞 𝐚𝐥𝐥 𝐫𝐞𝐪𝐮𝐢𝐫𝐞𝐝 𝐟𝐨𝐫𝐦𝐬 𝐚𝐭 𝐥𝐞𝐚𝐬𝐭 𝟐𝟒 𝐡𝐨𝐮𝐫𝐬 𝐛𝐞𝐟𝐨𝐫𝐞 𝐲𝐨𝐮𝐫 𝐚𝐩𝐩𝐨𝐢𝐧𝐭𝐦𝐞𝐧𝐭. 𝐊𝐞𝐞𝐩 𝐢𝐧 𝐦𝐢𝐧𝐝 𝐭𝐡𝐚𝐭 𝐲𝐨𝐮𝐫 𝐚𝐩𝐩𝐨𝐢𝐧𝐭𝐦𝐞𝐧𝐭 𝐦𝐚𝐲 𝐛𝐞 𝐫𝐞𝐬𝐜𝐡𝐞𝐝𝐮𝐥𝐞𝐝 𝐨𝐫 𝐜𝐚𝐧𝐜𝐞𝐥𝐞𝐝 𝐢𝐟 𝐚𝐧𝐲 𝐜𝐨𝐧𝐭𝐫𝐚𝐢𝐧𝐝𝐢𝐜𝐚𝐭𝐢𝐨𝐧𝐬 𝐚𝐩𝐩𝐥𝐲. 𝐒𝐞𝐞 𝐲𝐨𝐮 𝐬𝐨𝐨𝐧!
Full Name
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First Name
Last Name
Date Completed
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
Instagram Username
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Please enter your Instagram username below.
Health History
Do you have any allergies to adhesives, cyanoacrylate, latex, or cosmetics?
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Yes
No
Do you have any eye conditions (e.g., infections, styes, conjunctivitis) or sensitivities?
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Yes
No
Please list any medications or medical conditions relevant to your eye health.
Consent & Agreements
I understand the nature and purpose of lash extension services and agree to have them applied to my natural lashes.
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I agree
I understand that, despite precautions, irritation, allergic reactions, or natural lash damage may occur.
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I acknowledge
I have disclosed all relevant medical information and agree to follow aftercare instructions provided by Arlet Lash Co.
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I agree
Aftercare Agreement
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Avoid steam and sweat for 24 hours
Avoid oil-based products near lashes
No rubbing, pulling, or picking lashes
I will follow the proper cleansing and brushing routine
I acknowledge and agree to follow the aftercare instructions provided to maintain the health and longevity of my lash extensions.
Liability Waiver
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Technician is not responsible for allergic reactions or irritation
Technician is not responsible for improper aftercare or lash loss
Client assumes all risks related to the procedure
I acknowledge and agree to the liability waiver above and understand that I am responsible for following all aftercare instructions provided.
Photo Consent
I give Arlet Lash Co permission to take and use photos/videos of my lashes for social media, marketing, and portfolio purposes.
Cancellation & Deposit Policy Acknowledgment
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I acknowledge that a $20 NON-REFUNDABLE deposit is required to secure my appointment. I understand that the deposit will be applied toward my total service balance.
I acknowledge that cancellations or rescheduling made with less than 24 hours’ notice will result in forfeiture of my deposit, and a new deposit will be required to rebook.
I acknowledge that arriving 10+ minutes late will result in a $10 late fee. 15+ minutes late will result in appointment cancellation and forfeiture of deposit.
I acknowledge that a new deposit is required when rebooking after a cancellation, reschedule, or no-show.
I acknowledge and agree to all of the policies listed above and understand that they apply to my appointment.
Fill Policy
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I acknowledge that fills require at least 40% of extensions and are recommended every 2–3 weeks. Appointments past 3 weeks will be charged as a full set. Foreign fills are subject to a $10 fee.
Accept all agreements
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Accept all agreements
By signing below, I confirm that the information provided is accurate and complete, and I acknowledge and agree to the policies, waivers, and aftercare instructions.
Signature
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