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LASH EXTENTIONS
Pricing
Lash Removal:
Not Adding Extensions
$30.00
Lash Removal:
Before Adding Extensions
$30.00
Classic Set
+
$100.00
Hybrid Set
+
$120.00
Volume Set
+
$140.00
Mega Volume Set
+
$160.00
Lashes Online Form
To undergo eyelash procedures, you are first required to successfully complete this online form.
Please read all information carefully to ensure all answers will be accurate.
After you submit your online form, a consultant will review & contact you shortly.
YOU ONLY NEED TO COMPLETE THIS FORM ONCE
By submitting this form you agree and legally affirm all information is correct and agree to Lartista's terms and conditions.
Click
here
for all terms & conditions.
*
Indicates required field
Name
*
First
Last
Email
*
Phone Number
*
1. What products do you currently or have recently used on your eyelashes? (Select all that apply)
*
Mascara
Curler
Lash Serum
Lash Lift/Tint
None
2. Have you previously had lash extensions?
*
No
Yes
If yes, did you have any reactions or discomfort during / after the procedure? Please explain
*
3. What look are you going for?
*
Thicker
Longer
Natural
Dramatic
4. Have you had any recent eye infections?
*
No
Yes
5. In the last 72 hours, have you had any eye irritation or discomfort?
*
No
Yes
6. List any medications, antibiotics including supplements that you are currently using. If none, write N/A.
*
7. Are you on any thyroid or hormonal medications?
*
No
Yes
8. Do you wear contact lenses? If so. You will be required to remove them for health & safety.
*
No
Yes
9. Select what sleeping positions best apply to you?
*
Back Sleeper
Tummy Sleeper
Right Side
Left Side
10. Have you had any recent eye surgery or laser eye surgery?
*
No
Yes
11. Do you have any known vitamin deficiencies?
*
No
Yes
12. Do you use any eye drops of any kind?
*
No
Yes
13. Do you have any sensitivities or allergies?
*
No
Yes
If yes, Please Specify.
*
14. Do you have or have you had in the past 2 week any of the following (Select those that apply).
*
Viral infections such as herpes
Eczema
Overactive or underachieve thyroid gland
Alopecia Areata
Madarosis / Milphosis
Recently undergone Chemotherapy
Styes
Blepharitis
None
Consent, Terms & Conditions
To proceed to make an appointment with us, you must agree to our terms & conditions and to the following:
5. I consent to the placement and/or removal of the eyelash extensions. I understand that Lartista does not maintain lashes from a procedure performed by a different salon or lash technician.
16. I understand there are risks associated with having artificial eyelashes and eyelash extensions applied to or removed from my natural eyelashes. I further understand & agree that as part of the procedure eye irritation and discomfort could occur. I agree that if I experience any conditions with my lashes that I must notify the eyelash extension professional that performed this procedure and may have to have the eyelashes removed.
17. I understand and agree that should my eyelash specialist see a possible risk associated to previous reactions and/or complications or otherwise, I may be required to have a patch test 24hrs before the full application to ensure I will not have any further risks with this application or any further applications from my technician.
18. I understand and agree to follow the care and maintenance instructions provided by the eyelash specialist for the use and care of eyelash extensions. I understand and accept the consequences of failure to adhere to there instructions and thus may cause the eyelash extensions and/or lashes to fall out and/or decrease the time the lash extension will last.
19. I understand that there has a NO REFUND policy all eyelash services, procedures, appointments and products. I agree I will not receive a refund.
20. I understand I will be required to having my eyes closed and covered for the duration of approximately 1-2 hour procedure & I agree to NOT open my eyes at any point unless I am directed to. I also understand appointment & procedure times may vary depending on the type and number of eyelashes applied. I also agree to lie still for the entire procedure for safety reasons. If you feel uncomfortable at any time during the procedure, then please tell your lash technician immediately.
Care & Maintenance:
21. I understand that because of the natural lash cycle and wear and tear, I will need to maintain my extensions with refill appointments usually recommended every 2-4 weeks.
22. I agree to the follow eyelash extension follow-up and maintenance instructions:
- No waterproof mascara
- No oil based products around the eye area
- No water can come into contact with the eye area for 24 hours after application
- No tinting or perming of the eyelash extensions
- No excessive rubbing or any pulling of the eyelash extensions
- No eye makeup removers
23. I understand photos and/or recordings of lashes for specialist's notes &/or promotional content may be taken before, during or after my appointment. I agree to notify my specialist should I not consent to be used in promotional content.
24. I have read, understood and agree that I have provided correct & truthful information. I acknowledge that & understand that there are potential risks of harmful or negative side effects associated with having artificial eyelashes applied to and/or removed from my existing eyelashes, and that not withstanding the utmost of care in the application or removal of these products, there still exist risks associated with the procedure and product itself, which include, but not limited to, eye irritation, eye pain, discomfort, and, in very rare cases, blindness even when applied in the usual manner.
25. I understand and agree that as part of the usual eyelash extension removal procedure, there is a risk that chemical adhesive remover may cause eye irritation or further eye damage to which I will follow-up medical advice and care at my own expense and further release Lartista of any liability.
26. I understand and agree that by submitting this online form I am entering into a legal & binding agreement and hereby release any and all persons representing L'artista from all claims, demands, damages, actions and cause of action arising out of the performance of the service. I have fully disclosed all conditions regarding my health history, medications and past reactions to products, treatments and medications. I agree to follow L'artista's terms & conditions and policies found here.
This agreement will remain in effect for all procedures, appointments and all future follow-ups.
I affirm I am fully capable to execute this agreement and consent to undergo eyelash extension procedures. By submitting this form you agree and legally affirm all information is correct and further agree to follow all Lartista's terms and conditions. Click
here
for all terms & conditions.
I AGREE: SUBMIT
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Eyelash Procedure
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Refill Procedure (From $60)
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Non-Refundable Deposit.
A$50.00
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Home
About
Bookings & Prices
Lash Extentions
Deposit
On day of booking
Gallery
Contact us
Terms & Conditions