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Service Consent Form

Please Fill Out Your Information Below

I Agree to Have:

Consent and Acknowledgment

  • I understand that salon services involve certain risks, including allergic reactions, irritation, or damage to hair, skin, or lashes.

  • I have disclosed all relevant medical and personal information to the best of my knowledge.

  • I consent to the performance of the requested salon services by the stylist/technician.

  • I release the salon and its employees from any liability for adverse reactions or results that may occur due to undisclosed information or my failure to follow aftercare instructions.

  • I consent to before-and-after photos being taken for documentation and promotional purposes.

  • I understand that children under 15 are not permitted in the salon for safety reasons

  • I agree to the cancellation policy and that refunds are not issued. We require 48 hours’ notice or cancellation fees will be enforced.  *No shows and same day cancellations will be charged 100% of the appointment cost.

Consent and Acknowledgment
Yes
No

I am informing the certified esthetician of the following conditions, mark if they apply:

Select all that Apply
I am informing the certified esthetician of the following conditions
Yes
No

My signature further acknowledges that I shall not at any time in the future bring any legal action against LASH or its employees and that this waiver is binding on me, my heirs, my spouse, my children, my legal representatives, my successors and my assigns. I hereby certify that I have read this document; and, I understand its content.  

I am aware that this is a release of ALL liability as well as a contract and I sign it of my own free will.


I understand that all full lash sets and microblading will automatically be charged 20% gratuity.


This agreement will remain in effect for this procedure and all future follow-ups conducted by all certified esthetician professionals at LASH. I read English and understand that this consent agreement is legal and binding. I have read and fully understand all information in this agreement. I am over 18 years of age and consent to the agreement and to the service I have willingly requested.

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904.758.1072

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1500 Beach Blvd, Ste 114

Jacksonville Beach, FL 32250

Monday - 10-7

Tuesday - Thursday 9-7

Friday & Saturday 10-6

Sunday CLOSED

©2026 by LASH Jax Studio and Skin Spa.

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