New Client Appointment Request for LASH LAb eyelash extensions

>> CURRENT CLIENT REQUEST FORM

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

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? *

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

SPECIALS

Do you qualify for any of the following? *

PAST EXPERIENCE

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: *

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