New Client Appointment Request for LASH LAb eyelash extensions

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NEW CLIENT REQUEST

* Indicates required field

CONTACT

Name *

First

Last

Email *

Mobile Number *

Instagram *

SERVICE

Check all that Apply *

Master Artist ONLY Tier 2 Artist ONLY

Primary Lash Services *

Real Mink Fur Instead of Premium Mink Lashes? *

Any Add On Services? *

Bottom Lashes - Lite $25 Bottom Lashes - Full $40 Professional Removal - $25 Colors - $25

I have lashes on now *

If yes, describe any previous reactions or experience *

Availability

Weekdays *

Mornings Afternoons Evenings Available Anytime Not Available

Weekends *

Mornings Afternoons Evenings Available Anytime Not Available

Required time range or any days you cannot come? *

Notes on timing for a Special Event? *

How did you hear about us? *

Referrals Name *

Lash Academy - Call me if you need volunteer model *

yes no

Do you have a special voucher or discount of any sort? *

Yes No

If yes, voucher number & description *

PROFILE NOTES

About my preferences. I want... *

longer lashes darker lashes a fuller lashline curlier lashes a very natural & real look a more made up, glam look the look of strip lashes no preference and flexible to try different looks

About my health. I have... *

a latex allergy an allergy to acrylic a thyroid condition had Radiation / chemo within 1 year unexplained hair loss Pregnant Hormone related medications / therapy Auto-immune related medications a lash pulling habit dry eyes, itchy or red had a previous reaction other / general eye sensitivity None of the above

About the Policies. I agree... *

Artists take gratuity in cash only Strict 24 hour cancellation policy Fills are within 3 weeks & half intact No cash refunds on labor

Submit

CALL (415) 408-7993 | TEXT 415-903-7278 | @LASHLABsf

HOME
SERVICES
PRODUCTS
GALLERY
- CLASSIC
- HYBRID
- VOLUME
ABOUT YOUR VISIT
- POLICIES
CONSULT
BLOG