# Lash Extension Consent Form Template

> A free lash extension consent form for lash artists. Clients share eye health and allergies, read the release and aftercare, and sign online first.

Collect each client's lash service, eye health, allergies and contact lens use before the appointment. Clients read the consent and aftercare terms, then sign on their phone or a tablet at the front desk.

Canonical: https://reuily.com/templates/lash-extension-consent-form
Use this template: https://reuily.com/form/from-template/lash-extension-consent-form
Collections: Agreements & Waivers, Beauty & Wellness
Last updated: 2026-10-24

## Questions

- Question 1: What's your full name? (Short Text, required)
- Question 2: What's your email address? (Email, required)
- Question 3: What's your phone number? (Phone, required)
- Question 4: Which service are you booked for? (Single Choice, required). Options: Classic full set; Hybrid full set; Volume full set; Fill; Lash lift and tint
- Question 5: Have you had lash extensions before? (Yes / No, required)
- Question 6: Do any of these apply to you? (Multiple Choice, required). Options: Eye infection or irritation; Eye surgery in the last 6 months; Allergy to adhesives, latex or tape; Wear contact lenses; Sensitive or watery eyes; Pregnant or nursing; None of these
- Question 7: Anything else your artist should know? (Long Text, optional)
- Agreement: Lash extension consent and release, accepted with "I agree" (full text below)
- Question 8: Sign the lash extension consent (Signature, required)

Signing records the signer's consent, email, IP address, browser and signing time, and each signer can download a signed PDF copy.

## Lash extension consent and release

Please read this before you sign.

This consent is between **[Studio name]** (the "Studio") and the client named in this form.

1. **The service.** Extensions are applied one by one to my natural lashes with a medical grade adhesive while my eyes stay closed for about **[number]** hours.
2. **Health.** I have answered the questions above truthfully and will tell my artist if anything changes before the appointment.
3. **Risks.** I understand lash services can cause eye irritation, redness, swelling or an allergic reaction to the adhesive, even with no history of allergies. The Studio can do a patch test **[number]** hours before my appointment if I ask.
4. **Aftercare.** I will keep my lashes dry for **[number]** hours, avoid oil based products, and never pull or pick at the extensions.
5. **Removal.** Extensions are removed only by a trained artist. Natural lashes shed every few weeks, so some extensions will fall out with them.
6. **Release.** I release the Studio and its artists from claims arising from the service, except for their negligence.
7. **Photos.** The Studio may photograph my lashes for its portfolio unless I tell them not to.

By signing below, I confirm that I have read this consent and agree to it.

## Common uses

- Lash artists and lash studios
- Classic, hybrid and volume sets
- Lash lifts and tints

## Key features

- Eye health and allergy check
- Aftercare and release terms
- Signed PDF for every client

## Frequently asked questions

### What should a lash extension consent form include?

The service, past lash history, eye conditions, contact lens use, adhesive allergies, aftercare duties and a signed release. This template includes each of them.

### Can I use it for lash lifts too?

Yes. Lash lift and tint is one of the service options, and you can edit the aftercare term to match lifts.

### When should clients sign it?

Send the link with the booking confirmation so it's signed before the client arrives, or open it on a tablet at the front desk. Each signature is saved as a PDF.