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Lash Model Waitlist
Full Name
*
Email
*
Phone Number
*
Instagram Handle
*
Have you had lash extensions before?
*
Have you had lash extensions before?
A
Yes
B
No
Do you have any eye conditions, allergies, or sensitivities?
*
Do you have any eye conditions, allergies, or sensitivities?
A
Yes
B
No
Lash Set
*
Lash Set
Previous Lash Experience
*
Previous Lash Experience
A
First-time
B
Experienced
What days of the week and times are you available for your appointment? (morning / afternoon / evening) - leave blank if already booked
Consent & Acknowledgement
*
I confirm that I understand this is a discounted model lash appointment, that my lash set may take longer than standard service, and that I have disclosed all relevant medical or allergy information
Signature
Date
*
Submit