Phone * How did you hear about us? 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 * How long have you been getting lash extensions for? Have you had any reactions/sensitivities at any time from your lashes? (Swelling, itching, redness, dry eyelids, etc) What is the reason for not returning to the lash artist who provided your last lash extension service? When was your last fill? * 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 * An allergy test is highly recommended prior to any lash extension application. Due to the fact that I have existing lashes on, done by another artist and different products I understand that I cannot have a allergy test done and will not hold Lash Fox Beauty responsible for any reactions or sensitivities I may have today or in the future. * If I have not been maintaining proper aftercare, or if the extensions that have been applied by another lash artist have caused damage, I understand there are no guarantees of the health of my natural lashes. I will not hold Lash Fox Beauty responsible for the state of my natural lashes. * I understand that not all artists produce the same quality of work and a removal of my existing extensions and a full set application may be required if Lash Fox Beauty is not comfortable working around my existing extensions. * Some irritation, itching or burning may occur on the skin if the adhesive comes into contact with it. 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. * 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 must 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 by marking with a check: (Only select the boxes that apply to you in this section) Single Line Text I understand services are non-refundable. * I understand the cancellation policy as follows: *
Please check each box to confirm you agree to these terms
I understand that photos may be taken by Lash Fox Beauty of me, my face, and/or my eye area, both before, during and/or after the procedure for insurance, training and other purposes. These photos will not be shared unless consent is provided below. * Optional: I give Lash Fox Beauty permission to publish and reproduce photographs of me, my face, and/or my eye area, both before and/or after the procedure 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.