Lash Client Intake | Lash n Bash

Full Name *

Enter your full legal name

Phone Number *

Date of Birth

I have had lash extensions before

Desired Lash Style *

Allergies or Sensitivities *

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 or curl my lashes before my appointment *

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

Client Signature *

Sign here

By signing, you acknowledge and agree to the above