Lash Lift Waiver

First and Last Name *

Your answer

Address *

Your answer

Phone Number *

Your answer

Email Address (Keep updated with monthly Specials)

Your answer

How would you like to receive appointment reminders? *

Text

Email

Text AND Email

Are you over 18 yrs of age? *

Yes

No

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