Lash Client Consultation & Consent Form

Client Information

Full Name:

Phone Number:

Email:

Emergency Contact:

Date:

Have you had lash extensions before? ☐ Yes ☐ No

If yes, did you experience any irritation or allergic reaction?

Desired look: ☐ Natural ☐ Open Eye ☐ Cat Eye ☐ Dramatic

Additional notes:

Client Signature:

Date:

Print this page (Ctrl+P or Cmd+P) and choose “Save as PDF” to save a copy.