Eyelash Extension Form

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Eyelash Extension Intake Form

Please fill out this form prior to your appointment date.

Full Name

Phone Number

Referred By

Please Read & Check the Boxes in Acknowledgement

I understand that this procedure requires single synthetic eyelashes to be glued to my own natural eyelashes.

I understand that it is my responsibility to keep my eyes closed and be still during the entire procedure until my eyelash technician addresses me to open my eyes.

I understand that some risk of this procedure may be, but not limited to, eye redness and irritation. The fumes from the adhesive may cause my eyes to tear up if I open my eyes too soon or without direction.

I agree to disclose any allergies that I may have to latex, adhesives, surgical tapes, Cyanoacrylate, Vaseline, etc.

I understand that I am required to follow the eyelash extension after-care sheet (given hereto) in order to maintain life of thesextensions. (This is crucial for proper retention!)

I agree that by reading and signing this consent form, I release Sunny Flake and Lisa with The Sunny Method from any claims or damages of any nature.

I agree to adhere to The Sunny Method's cancellation policy of providing at least 24 hours notice for canceling my appointment to avoid being charged the late fee.

I agree that I am sound of mind and am fully capable of executing this waiver for myself.

I have read and completed this Eyelash Extension Intake and Consent form in its entirety, and have answered everything to the best of my ability. I have been informed of potentially harmful or negative side effects that may be caused by the application and/or removal of eyelash extensions.

I give The Sunny Method pemission to show my before and after photos of my eyelashes to other clients and/or on social media.

I confirm that I wish to continue with the services with The Sunny Method to apply eyelash extensions and other minor beauty services.

Your Signature

Today's Date

We look forward to seeing you soon!