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Lash Extension Consent Form
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Lash Extension Consent Form
*
First name
*
Last name
*
Email
*
Phone
*
Have you had lash extensions before?
Yes
No
*
Do you wear contact lenses?
Yes
No
*
Do you have a latex allergy?
Yes
No
*
Do you wear glasses?
Yes
No
*
Have you had surgery around the eye area in the last 6 months?
Yes
No
*
Do you have acrylic allergy?
Yes
No
If you have any other allergies please state here...
*
I hereby consent and authorize Dariana Torres to perform the lash application
Yes
Client's Signature
Clear
Submit
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