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NEW CLIENT REQUEST
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CONTACT
Name
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First
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Email
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Mobile Number
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Instagram
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How did you hear about us?
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Please select one
Facebook
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Yelp
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Other
Referral
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Availability
Weekdays
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Mornings
Afternoons
Evenings
Available Anytime
Not Available
Weekends
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Mornings
Afternoons
Evenings
Available Anytime
Not Available
General availability notes / special event date?
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SERVICE REQUESTED
Do you have extensions on now?
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I have never had extensions
I have none on now
A few are left
Many are still on
What Level Fullness / Service do you want to book?
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Please select a Service
Level 1 - Classic: Natural Woman Full Set
Level 2 - Classic: Natural Diva Full Set
Level 3 - Hybrid: Classic + Volume Mixed Full Set
Level 4 - Natural Russian Volume Full Set (2-3D)
Level 5 - Full Russian Volume Full Set (up to 6D)
Non Client Fill - Classic
Non-Client Fill - Hybrid (Mixed)
Non-Client Fill - Volume
I don't know and need advice
Any Add On Services?
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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?
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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?
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Black Friday 15% off entire bill
PAST EXPERIENCE
Any of these situations?
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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
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DESIGN OPTIONS
How involved in design do you care to be?
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Very involved. (Video consult recommended)
Minimal involvement (express consult with artist on the day of)
See my design thoughts below, but I'll trust my artist.
Do you want to schedule a FREE video consultation?
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Yes
Fullness
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I don't want more fullness.
I want the same fullness as my natural lashes but a little darker
I want more fullness than I naturally have
I want a very full look, but not quite strip lash
I want a strip lash look
Shape
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Natural - same shaping as my natural lashes now
Doll - open eye look with more length in the center
Cat - elongated look with length in outer corners
Length
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Same as my length
Slightly longer than my length
A lot longer than my length
Darkness
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Brown - lighter option
Soft Black - looking for a natural look
Black Black - not looking for a natural look
Real Mink Fur - for think damaged lashes
Curl
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Slight curve, very subtle from the front. More obvious from sides. more visible from sides, good to downplay very round eyes
Curled, standard curl visible from front & sides
Curly, lash curler look
Very Curly, specialty curl good for some flatter eyeshapes
Describe your eyes/lashes:
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Describe your eyeshape or notes about your lashes or anything you want us to know re: your preferences
I agree...
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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
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yes
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APPOINTMENT REQUEST
NEW CLIENTS
CURRENT CLIENTS
ABOUT YOUR VISIT
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