Phone * Emergency Contact Phone * You must be over 18 to consent to services. You must be over 16 to receive services. Under 18 requires parental signature * Have you had lash extensions in the past? Please explain if you had any problems, reactions or sensitivities to your lash extensions. How long ago was your last lash extension service? PLEASE READ AND UNDERSTAND THE FOLLOWING:
Each box check provides electronic confirmation & consent
I agree to have eyelash extensions applied to my natural eyelashes and/or removed and retouched. By signing this agreement, I consent to the placement and/or removal of eyelash extensions by the certified eyelash extension professional and release Lash Fox Beauty from any damages. * I understand there are risks associated with having artificial eyelashes and eyelash extensions applied to, or removed from, my natural eyelashes. Despite application of the most advanced and top ingredients, an allergic reaction is possible. I understand I may request an allergy test, but it must be done a minimum of 48 hours prior to application. * Some irritation, itching or burning may occur on the skin if the adhesive comes into contact with it. I agree that if I experience any of these conditions with my lashes I will contact the certified lash extension professional that performed this procedure and it may be beneficial to have the eyelashes removed. * If any products come into contact with my eye, my eye will be flushed and I will be assisted in seeking medical attention immediately. * This is a semi-permanent procedure, as my natural lashes will continue to grow and fall out naturally, making touch-up or 'fill' appointments necessary to maintain the original look achieved by replacing the lashes that have fallen out. Most clients require a fill appointment every 2-3 weeks. A full set is required for any appointment booked further than 4 weeks apart. * I understand and consent to having my eyes closed for the duration of an approximately 60-120 minute procedure and that it is my responsibility to keep them closed and remain still during this time. Procedure times vary. * It is my responsibility to prepare my eye area prior to arrival. Eyelashes and eye area should be clean, dry, and free of mascara, makeup, and oil residue. If I attend my appointment without proper preparation, Lash Fox Beauty cannot guarantee lasting or satisfactory results and may charge me a cleaning fee prior to application. *For best results please let us know if you have any mascara or residue on your lashes. * I understand and agree to the following after-care instructions for the use and care of my eyelash extensions. I realize and accept the consequences of failing to adhere to these instructions may cause the eyelash extensions to fall out and/or decrease the time the lashes will last. *
Please check all to confirm an understanding of the aftercare.
I am informing the certified eyelash extension professional of the following conditions that apply to me by marking with a check: Single Line Text I understand the cancellation policy as follows: *
Please check each box to confirm you agree to these terms
I understand services are non-refundable. * I understand that as I am being a model for a newly certified artist that photos will be taken of my eye area before and after the service for portfolio building. I give Lash Fox Beauty and my lash artist permission to take, publish and reproduce photographs of me, my face, and/or my eye area, both before and/or after the procedure for advertising, training and other purposes. * If you would like to be tagged on Social Media please enter your user name(s) If you have any questions please feel free to leave them here to discuss upon arrival. If you would like to discuss prior to your appointment please note that as well and we will be in touch, This agreement will remain in effect for all eyelash extension procedures performed at Lash Fox Beauty. I will inform Lash Fox Beauty of any changes applicable to this agreement. I read English and understand that this agreement is legal and binding. I will not hold Lash Fox Beauty or any of its service providers liable for any damages on this day or any day forward. I have read and understand all information in this agreement. I am over 18 years of age and consent to this agreement and to the services rendered.