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 or website?

client signature *

Sign here

by signing, you acknowledge and agree to the above