EYELASH EXTENSIONS CLIENT CONSENT & INTAKE FORM

Welcome!

Before we get started with your lash service, please take a moment to complete this form. It helps us give you the safest and most beautiful result possible!

Client Info

Name: __________________________________

Phone: __________________________________

Email: __________________________________

Date of Birth: ____________________________

Health & Lash History

Do you currently have or have had any of the following? (Please check all that apply)