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Name
Address
Please indicate any medical conditions:
Are you allergic to the following?
Do you wear eyeglasses?
Have you had eyelash extensions before?
Do you wear lenses?
Have you had a reaction to extensions?
Mascara, Serum, etc.

By signing you agree that the above information is accurate to the best of your knowledge

Clear Signature

Do you want to gain consent from clients receiving eyelash extension services? Then check out the eyelash extension consent form template from WPForms.

This form template is perfect for spas, salons, and any other business that specializes in makeup and beauty services.

Using an Eyelash Extension Consent Form Template

On our eyelash extension consent form template, we’ve included the following fields:

  • Client’s name, address, and contact information
  • Referral information
  • Checkboxes for medical conditions and allergies
  • Checkboxes for eyewear information
  • Checkboxes for eyelash extension history
  • Eyelash products used
  • Required signature and date of submission

These fields provide a good start for your own eyelash extension consent form. But, like all of the form templates from WPForms, this form is totally customizable.

You may decide to add or remove certain medical conditions or product allergies listed on your consent form, or you may use the form to have clients indicate additional services they’re interested in.

You might also decide to specify the types of consent your client is providing and the services they are receiving. Luckily, it’s easy to do with the WPForms drag-and-drop form builder.

Get started with WPForms today to create and customize your own consent form template. Signing up with WPForms gives you access to this and hundreds of other pre-made templates.