Digital lash extension waivers are generated for customers.

Lashes by Victoria

New Client Form

Prior to your appointment:


 I don’t take foreign fills from another lash artist. If you have lash extensions from another lash tech, please book with me for a removal and a brand new full set to ensure your lashes look their best.

Please make sure you come to your appointment with a clean face and remove all makeup (especially water proof mascara). Removing mascara can be very time consuming and any residual makeup will prevent proper application of the extensions. Use a mild, oil-free cleanser. Do not use oil-based makeup removers.

● Please wear a mask to your appointment. It’s for your health and mine.

● Come on time to your appointment. No more than 10 minutes late without contacting me or your appointment will be cancelled.

● Cancellations MUST be done 24 hours prior to your appointment.

Cancellation / Rescheduling Policy

If you must cancel or reschedule your appointment, please do so at least 24 HOURS before your appointment.  All appointment cancellations must be made and confirmed via telephone or text.

I strive to accommodate my clients to the best of my ability. All of my appointment confirmations are sent via text or email. Please honor your appointment. If you must cancel or reschedule, please do so at least 24 hours before your appointment.

● No call/no shows will not be allowed to book another appointment with me so please make sure if you have to cancel, let me know.

New Client Discount form
Informed Consent: Lash Extensions

Although every precaution will be taken to ensure your safety and well being before, during and after your lash extension application, please be aware of the following information and possible risks. 


I understand that some irritation, itching or burning may occur on the skin if the bonding agent comes into contact with it. 
I understand that this is a semi-permanent procedure, as my natural lashes will continue to grow and fall out normally, making touch-up or additional appointments necessary to maintain the original look achieved by replacing the lashes that have fallen out. Most clients require a "fill" appointment every 2-3 weeks. 
I understand that while every attempt will be made to provide me with the length and fullness I have chosen, my final result may not be what I initially envisioned due to my eye shape, quantity of my lashes, etc. 
I understand that it is imperative that I disclose all of the information requested in the Client Profile/Health History. 
I have cited all conditions and circumstances regarding my health history, medications being taken, and any past reactions to products or medications. 
I understand that additional conditions could occur or be discovered during the procedure which could affect my ability to tolerate the procedure. 
I consent to “before and after” photographs for the purpose of documentation, potential advertising and promotional purposes. 
I understand I have up to 72 hours after my service to contact Lashes by Victoria in case I have lash retention issues to receive a fix free of charge. Passed 3 days of my service, they can be fixed at a discounted fee. Lashes by Victoria does not offer lash fix after 7 days of services. 

I understand that if I have any concerns, I will address these with my lash extension specialist. I give permission to my lash extension specialist to perform the lash extension procedure we have discussed, and will hold him/her and his/her staff harmless and nameless from any liability that may result from this treatment. I have accurately answered the questions above, including all known allergies, prescription drugs, or products I am currently ingesting or using topically. I understand my lash extension specialist will take every precaution to minimize or eliminate negative reactions as much as possible. In the event  

I may have additional questions or concerns regarding my treatment, I will consult the lash extension specialist immediately. I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I certify that I have read, and fully understand, the above paragraphs and that I have had sufficient opportunity for discussion to have any questions answered. I understand the procedure and accept the risks. I do not hold the lash extension specialist, whose signature appears below, responsible for any of my conditions that were present, but not disclosed at the time of this procedure, which may be affected by the treatment performed today.

If you have any questions, please feel free to contact me at : (848)333-7225. 










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