New Client Intake Form · Azulizz Lash Bar

Phone Number *

Instagram Username *

Allergies or Sensitivities If Any *

List any known allergies (adhesives, latex, etc.) or eye sensitivities

I understand I should not wear mascara or curl my lashes before my appointment *

I understand there is a risk of irritation or allergic reaction and I consent to proceed *

I have read and agreed to all booking policies.

Photo & Social Media Consent *

May we photograph your results and share them on our social media or website?

Client Signature *

Sign here

By signing, you acknowledge and agree to the above