ABOUT YOUR VISIT
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NEW CLIENT REQUEST
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Check all that Apply
Master Artist ONLY
Tier 2 Artist ONLY
Primary Lash Services
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 - Double Volume Full Set
Level 5 - Triple Volume Full Set
Non Client Fill
I don't know and need advice
Real Mink Fur Instead of Premium Mink Lashes?
Yes - On my initial full set $99
Yes - Please upgrade me $99
Yes - I am a current mink fill client $21
I don't know
Any Add On Services?
Bottom Lashes - Lite $25
Bottom Lashes - Full $40
Professional Removal - $25
Colors - $25
I have lashes on now
Yes, a decent amount
Barely any left
If yes, describe any previous reactions or experience
Required time range or any days you cannot come?
Notes on timing for a Special Event?
How did you hear about us?
Please select one
None of the Above
Lash Academy - Call me if you need volunteer model
Do you have a special voucher or discount of any sort?
If yes, voucher number & description
About my preferences. I want...
a fuller lashline
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
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
SAN FRANCISCO CALL (888) 406-5274 | TEXT 415-518-5274
ABOUT YOUR VISIT