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Client Health and Safety Form
We want you to have the most enjoyable and memorable experience possible.
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Åland Islands
Country
Are you under 16 years old?
*
Yes
No
Permission Form
*
I agree to submit a waiver form filled out by my parent/guardian. We do not offer services if you are under 16 years old without parent/guardian consent.
View Form
Date of Birth (MM/DD/YYYY)
*
MM
1
2
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4
5
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7
8
9
10
11
12
DD
1
2
3
4
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16
17
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20
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31
YYYY
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
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1920
For Lashes, you must be at least 16 years old.
Would you like to be informed about our latest lashes offers by email?
*
Yes
No
Do you give us permission for your photos to be taken and used for promotion purposes?
*
Yes
No
Choose all services you have had in the past?
*
Lash Tint
Lash Extensions
Waxing
Eyebrow Lamination
Microdermabrasion
Chemical Peel
Laser Resurfacing
This is my first treatment
You had any reactions during or after your past services?
*
Yes
No
Please explain in detail
*
Are you allergic or have any skin conditions including?
*
Psoriasis
Eczema
Conjunctivitis
Dry Eye Syndrome
Eye Infection
Trichotillomania
Alopecia
No
Yes, Other
Please explain in detail
*
Are you Pregnant?
*
Yes
No
Are you on any medication that may affect the sensitivity of your skin?
*
Yes
No
Please explain in detail
*
Did you have a patch test done 24 hrs prior to the treatment?
*
Yes
No
Patch test is used to find out if an individual has allergies to the products used during the treatments.
Do you want a patch test done prior to your treatment?
*
Yes
No
Patch test is free service. We will monitor your condition for 24 hrs. We advise a patch test for any treatment you undertake. If you choose not to have a patch test, we are not responsible for any reaction that may occur on the rare event. If you have any medical concerns about your suitability for any of our treatment, please seek medical advice first.
Terms
*
I agree to the MK Lashes Terms
I understand for a deposit refund, an appointment must be cancelled 48 hours prior.
I consent that I am responsible for my decision in carrying out the treatments. I understand the longevity of any treatments will vary depending on the condition of the area being treated, the treatment I choose and my aftercare.
The person carrying out the treatment is not responsible for any allergic reactions I may in the very unlikely event experience. If my medical condition changes it is my responsibility to inform the person performing the treatment prior to any future appointments.
View all Terms & Conditions
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