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Lash Lift Consent Form

To register, please take the time to fill out the information below.

how did you hear about us?
Please indicate if you have worn within the last 60 days any of the following types of lashes:
do you wear contacts?
Do you habitually rub, pull, or pick your lashes for any reason?
Do you have, or are you being treated for any eye illness or injury?
Please check oany of the following that might apply to you
What side do you predominately sleep on?
Are you able to keep your eyes closed and lie still for up to 2 hours or longer?

I understand that there are risks associated with the Lash Lift procedure.

I understand that the lashes will be curled with an advanced solution and a conditioning cream.

I understand and agree to follow the aftercare instructions provided by my technician, failure to do so may cause an undesirable result.

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