Lash Nap Client Intake Form
Help us get to know you better so we can service you best! Feel free to ask us any questions you may have after completing this form.
First Name *
Last Name *
Email *
Billing Address and Zip Code *
Phone number *
Date of Birth *
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Do you consent to disclosing any health, injury, medications, surgeries, pregnancy, allergies, and or any information that may affect your treatment today?
How did you hear about Lash Nap? *
By checking this box, you are agreeing to receive a treatment that may cause red, puffy, dry or watery eyes. * *
Required
By checking this box, you agree that your Lash Artist cannot guarantee the outcome of your eyelash extensions if your lashes are not completely make up free, oil free, or completely clean. For Lash Lifts, you are agreeing that your last lash lift is at least 8 weeks from your last service. For Henna Brows, you are agreeing that you are not adversely affected by henna products or formulas. *
Required
By checking this box, you are agreeing to our 24 hour cancellation policy. No shows or late cancellations are subject to half the cost of the scheduled treatment. Arrivals 15 minutes past the scheduled time will be rescheduled. * *
Required
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