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 *

How did you hear about us? *

Other or Referrals Name *

Availability

Weekdays *

Mornings Afternoons Evenings Available Anytime Not Available

Weekends *

Mornings Afternoons Evenings Available Anytime Not Available

General availability notes / special event date? *

SERVICE REQUESTED

Do you have extensions on now? *

What Level Fullness / Service do you want to book? *

Any Add On Services? *

Bottom Lashes - Lite $25 Bottom Lashes - Full $40 Colors - $25 Patch Test - $25 I want to know about real fur lashes

Any conditions or active health related issues that could be area for concern? *

Please tell us if you have any active infections, allergies, eye conditions, auto-immune disease, hormone related therapy or medications that may cause you to have a hyper sensitivity to this service. If you have undergone recent surgery or chemo, please let us know.

SPECIALS

Do you qualify for any of the following? *

PAST EXPERIENCE

Any of these situations? *

Red eyes Puffy Lids Scratchy/Dry eyes Morning Goup Itchy lashline Poking Burning during appointment Burning after appointment Lashes don't stay on None of the above

Experience Notes *

DESIGN OPTIONS

How involved in design do you care to be? *

Do you want to schedule a FREE video consultation? *

Yes

Fullness *

Shape *

Length *

Darkness *

Curl *

Describe your eyes/lashes: *

Describe your eyeshape or notes about your lashes or anything you want us to know re: your preferences

I agree... *

24 hour cancellation policy Artists take gratuity in cash only Fills must be within 3 weeks Lashes no more than 1/2 gone for fill No cash refunds on labor Design changes available on first fill Original artist subject to availability Artist may take before & after's I do not agree to 1 or more of the above

Lash Academy - Call me if you need volunteer model *

yes no

Submit

SAN FRANCISCO CALL (888) 406-5274 | TEXT 415-518-5274 | @LASHLABsf

HOME
SERVICES
APPOINTMENT REQUEST
- NEW CLIENTS
- CURRENT CLIENTS
ABOUT YOUR VISIT