Eyelash Extension Consent Form

An Eyelash Extension Consent Form is used to document a client’s agreement to having eyelash extensions applied. This form should be completed prior to the service in order to protect both the client and the technician.

Time to complete

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.


Questions for Eyelash Extension Consent Form


Client Name

The answer should be a text input.

Client Address

The answer should be a text input.

Client Phone number

The answer should be a phone number.

Client Email

The answer should be an email input.

Do you have any known allergies? If so, please list them here:

The answer should be a text input.

Do you have any medical conditions that we should be aware of? If so, please list them here:

The answer should be a text input.

Do you wear contact lenses?

The answer should be a single choice:
  1. Yes
  2. No

Do you have any eye conditions? If so, please list them here:

The answer should be a text input.

Are you pregnant?

The answer should be a single choice:
  1. Yes
  2. No

Do you have any other questions or concerns that you would like to discuss with us?

The answer should be a text input.

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.

The answer should be a single choice:
  1. I Agree
  2. I Disagree

Client Signature

The answer should be a signature.


The answer should be a date input.

Similar Ideas

  • Eyelash Extension Consent Form
  • Eyelash Extension Treatment Consent Form
  • Eyelash Perm/Lift Consent Form
  • Eyelash Tinting Consent Form
  • False Eyelash Application Consent Form

Here are some FAQs and additional information
Eyelash Extension Consent Form

How do I take care of my lash lift?

Avoid getting your lashes wet for at least 24 hours after the treatment. After that, you can use a mild cleanser around your eyes, but avoid rubbing the lashes. Be sure to use oil-free makeup and skincare products.

How long do lash lifts last?

The Lash lifts last around 6-8 weeks.

Can I still wear mascara?

Yes, but we recommend using a water-based mascara. Oil-based products can break down the lifting solution and cause your lashes to lose their curl.

Do I need to do anything special to take care of my lash lift?

No, but we recommend using an oil-free makeup remover to avoid breaking down the lifting solution.

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