CLIENT INFORMATION

FIRST NAME

LAST NAME

ADDRESS

CITY

POSTAL CODE

PHONE NUMBER

CONDITIONS

PLEASE CHECK ALL THAT APPLY:

PREVIOUS ALLERGIES/SENSITIVITIES TO LASH EXTENSIONS ALLERGIES/SENSITIVITIES TO COSMETIC INGREDIENTS SENSITIVE EYES RECENT EYE INFECTION (EXAMPLE: PINK EYE, STYE) RECENT SEMI-PERMANENT MAKE UP (BROWS, LINER) RECENTLY HAD LASH EXTENSIONS/LASH LIFT PREGNANT/BREASTFEEDING ON MEDICATION/SUPPLEMENTS

ANY OTHER THINGS WE SHOULD KNOW ABOUT?

DISCLAIMERS

WE TAKE ALL PRECAUTIONS TO ENSURE YOUR SAFETY AND WELLBEING BEFORE, DURING AND AFTER YOUR SERVICE. PLEASE BE AWARE OF THE FOLLOWING INFORMATION AND POSSIBLE RISKS. PLEASE READ CAREFULLY AND INITIAL BESIDE EACH STATEMENT:

I UNDERSTAND THAT RESULTS WILL VARY FROM CLIENT TO CLIENT. RESULTS ARE NOT GUARANTEED. I UNDERSTAND THAT THIS IS A SEMI-PERMANENT SERVICE. THE EXTENSIONS WILL FALL OUT WITH WEAR. RETENTION IS NOT GUARANTEED. I UNDERSTAND IT IS MY RESPONSIBILITY TO ADVISE THE ARTIST OF ANY DISCOMFORT DURING THE SERVICE. I UNDERSTAND THAT ALLERGIC REACTIONS AND/OR SENSITIVITIES MAY OCCUR, AND IT IS MY RESPONSIBILITY TO SEEK MEDICAL ATTENTION. I WILL NOT HOLD THE BUSINESS, OWNER AND EMPLOYEES RESPONSIBLE FOR ANY CLAIM OR DAMAGE THAT MAY OCCUR DUE TO THE SERVICE.

AFTERCARE

I AGREE TO THE FOLLOWING AFTERCARE INSTRUCTIONS:

CLEANSE EYE AREA AND LASHES WITH A LASH EXTENSIONSAFE CLEANSER EVERYDAY. NO EYE RUBBING OR LASH PICKING/PULLING. AVOID SLEEPING ON LASHES. AVOID HEAT. NO OIL-BASED FACE PRODUCTS, AND NO WATERPROOF MAKE UP (NO MASCARA). NO LASH CURLERS. SCHEDULE FILLS EVERY 2-3 WEEKS IF I WANT TO MAINTAIN THE LASHES.

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EYELASH EXTENSIONS

CLIENT INTAKE FORM

CLIENT INFORMATION

CONDITIONS

DISCLAIMERS

AFTERCARE

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EYELASH EXTENSIONS

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CLIENT INFORMATION

CONDITIONS

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AFTERCARE

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