Lash Lift Waiver
Welcome to REVIVAL Waxing! Please review and fill out the following before your Lash Lift Service. The studio is located at 315 E Main St Suite 303 Hillsboro, OR 97123 | Call/Text: 5034278712 | Web: www.revivaloregon.com | Email: revivaloregon@gmail.com
First and Last Name *
Your answer
Address *
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Phone Number *
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Email Address (Keep updated with monthly Specials)
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How would you like to receive appointment reminders? *
Are you over 18 yrs of age? *
Have you had a Lash Lift before? If so, when? *
Your answer
Please list any allergies and/or sensitivities? For example: adhesives, lotions, aloe, lavender or lanolin? *
Your answer
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