Name *

First Name

Last Name

What services are you interested in? *

Classic Lash Extensions

Volume Lash Extensions

Hybrid Lash Extensions

Lash Lift

Lash Tint

Lash Removal

Other

Do you currently have lash extensions? *

Yes

No

Have you ever had a reaction to lash adhesive or eye treatments before? *

Yes - please describe below

No

Do you wear contact lenses? *

Yes

No

Do you have any eye conditions or sensitivities? *

Examples: dry eyes, styes, eye infections, recent surgery, etc.

Yes - Please describe below

No

Do you prefer a quiet environment or artist interation?

Quiet

I prefer chatting

Cancellation Policy Agreement *

I understand that we have a strict 24-hour cancellation policy and if I do cancel my appointment with less than 24-hour notice, I will be charged a $50 cancellation fee that must be paid before my next service.