LASH CLIENT INTAKE FORM | AYOUNI ARTISTRY

FIRST + LAST NAME *

PHONE # *

DATE OF BIRTH *

I HAVE HAD EYELASH EXTENSIONS BEFORE.

ALLERGIES OR SENSITIVITIES *

PLEASE LIST ANY KNOWN ALLERGIES (ADHESIVES, LATEX, ETC.) OR EYE SENSITIVITIES.

EYE CONDITIONS

have you had any eye surgery, infections, or conditions in the past 6 months?

I UNDERSTAND I SHOULD NOT WEAR MASCARA (ESPECIALLY WATERPROOF) OR CURL MY LASHES BEFORE MY APPOINTMENT. *

I UNDERSTAND THERE IS A RISK OF IRRITATION OR ALLERGIC REACTION. I CONSENT TO PROCEED. *

PHOTO + SOCIAL MEDIA CONSENT *

MAY I PHOTOGRAPH YOUR RESULTS + SHARE THEM ON MY SOCIAL MEDIA/WEBSITE?

CLIENT SIGNATURE *

Sign here

BY SIGNING, YOU ACKNOWLEDGE + AGREE TO THE ABOVE.