Lash Consent Form

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1. Name:

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2. Phone number:

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3. Email address:

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4. Acknowledgements:

INSERT YOUR CONSENT TERMS HERE

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5. I consent to lash treatment given the acknowledgements above:

I consent

I do not consent

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6. Signature:

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7. I acknowledge that by entering my name above I am providing a digital signature.

Agree

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8. Date:

Date

Date