About this template
Protect your beauty business and ensure your clients are fully informed with this professional lash extension client liability waiver. Designed specifically for lash technicians, estheticians, and salon owners, this form streamlines your client intake process while gathering essential health history and formal consent before any eyelash application.
The template covers critical safety disclosures, potential allergy risks from adhesives, and proper aftercare acknowledgments. By collecting signed digital consent ahead of time, you establish clear communication, manage expectations, and maintain organized records of client agreements in one secure Google Drive location.
With Doc2Form, you can instantly turn this template into a ready-to-use Google Form, making it effortless to share with clients via email, text, or a QR code at your front desk before their appointment begins.
Key features
- Collect mandatory health and allergy disclosures prior to application
- Secure formal client consent and liability acknowledgment
- Gather emergency contact details and client history in one step
- Access responses instantly inside your Google Drive
- Share easily with clients via a direct link or QR code
Use cases
- First-time eyelash extension appointments at a boutique salon
- Mobile lash artists onboarding new private clients
- Beauty school student clinics requiring signed consent forms
- Routine annual waiver renewals for returning salon regulars
What this form collects
- Full Name (Short answer)Enter your first and last name as it appears on official identification.
- Email Address (Short answer)We will use this to send appointment confirmations and aftercare instructions.
- Phone Number (Short answer)Enter your mobile number for appointment reminders.
- Date of Birth (Date)Please provide your birth date for our client records.
- Emergency Contact Name & Phone (Short answer)In case of an unforeseen emergency during your visit.
- Medical & Eye History (Checkboxes)Check any conditions that apply to you currently or in the past.
- Previous Lash Extensions (Multiple choice)Have you ever had eyelash extensions applied before?
- Liability Waiver & Acknowledgment (Multiple choice)Please review: Eyelash extensions involve the application of synthetic fibers to natural lashes using medical-grade cyanoacrylate adhesives. While precautions are taken, potential risks include allergic reactions, eye irritation, temporary swelling, or loss of natural lashes if aftercare guidelines are not followed. Do you understand and accept these risks?
- Photo & Media Release (Multiple choice)May we take and use photos of your finished lash extensions for our portfolio and social media?
- Client Signature (Short answer)Please type your full legal name to serve as your digital signature confirming your consent.
FAQ
Why do I need a lash extension waiver form?
A liability waiver ensures clients understand the procedure, potential risks like adhesive sensitivities, and proper aftercare. It helps set clear expectations and protects your business by confirming informed consent before treatment.
What information should be included in the waiver?
The form should capture basic contact details, relevant medical or eye-condition history, specific disclosures about glues and synthetic lashes, an acknowledgment of risks, and a signature or confirmation checkbox.
When should clients fill out this form?
Clients should complete the waiver prior to their first appointment. Many salons ask returning clients to review and re-sign annually or whenever product formulas or salon policies change.
Can I customize the questions in this Google Form template?
Yes! Once you generate the form with Doc2Form, it lives in your Google Drive. You can freely edit questions, add your salon branding, or adjust the liability terms to fit your specific business requirements.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.