Lash Extension Form

Today's Date *
Today's Date
Birthday *
Name *
Address *
Have you had lash extensions before? *
Are you currently pregnant? *
Do you wear contacts? *
If yes, we do recommend removing them
Have you had your lashes tinted in the last week? *
Do you work out regularly? *
I knowingly and freely assume the possibility of an allergic reaction. If you understand this statement, please check the box below. *
terms + conditions
I understand that to maintain my lashes, I must come in every 2-3 weeks for touch ups or files for the service to last. I understand that following each appointment, I should avoid any steam or water on or near my lashes for the next 24 hours. I understand that if I am a new client with existing lash extensions, I am subject to a min. of $80+ for a touch up.The lash expert will be the judge of the condition of my lashes. I understand that to ensure the longest lasting lashes possible, I should avoid rubbing and pulling, mascara, and he use of waterproof eye makeup. I understand that once my service has been rendered, a full refund cannot be given. Any problems with your service, we will fix free of charge if reported and executed within 7 business days from your initial appointment. I knowingly and freely assume all such risks, both known and unknown, even from negligence of the specialist. I assume full responsibility for myself and or minor(s) in my care. I hold harmless to the salon and all specialists associated with the salon. I understand that POP Lash + Beauty Bar are not responsible for any injury, loss, damage to a person or personal property to the fullest extent of the law. I understand the appointment policy and 24 hours cancellation policy. If I fail to cancel or no show to my appointment, I authorize POP lash + beauty bar to charge my credit card on file 50% of the service. this is a service based establishment, although gratuity is not required, it is much appreciated.