3 minutes
The person must be at least 18 years old to fill the Eyelash Extension Consent Form. They must have proper identification with you while visiting the beauty salon.
Client Name
Client Address
Client Phone number
Client Email
Do you have any known allergies? If so, please list them here:
Do you have any medical conditions that we should be aware of? If so, please list them here:
Do you wear contact lenses?
Do you have any eye conditions? If so, please list them here:
Are you pregnant?
Do you have any other questions or concerns that you would like to discuss with us?
By signing this form, I certify that I have read and understand the above questions and that the answers I have provided are accurate to the best of my knowledge. I understand that it is my responsibility to inform the technician of any changes to my health, medications, or contact lens wear. And I give my consent to the eyelash extension procedure.
Client Signature
Date