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Lash Extension Consent & Health History
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Email *
Full Date of Birth:
FULL date of birth is REQUIRED for any service with Lashing Out Lounge. 
This is for business liability insurance purposes. 

**Persons under 18 YEARS of age you are NOT ELIGIBLE for this service from Lashing Out Lounge. ** *
ID verification may be required. 
 *
Phone Number  *
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