Name * First Name Last Name Date * MM DD YYYY Phone (###) ### #### Email Address Address 1 Address 2 City State/Province Zip/Postal Code Country * I have full understanding and consent to having my services performed by Lash Narrative student/apprentice. I understand that said, services may take longer than usual. I understand that the student/apprentice is under supervision of a Lash Narrative educator. I also understand that at this time all students of Lash Narrative currently meets their state standards to perform these services. (i.e. some states including Illinois require a cosmetology or aesthetics license.) By consenting to have services by a student/apprentice, I waive the induvial and Lash Narrative instructors of any and liability. I have completed a general client consent form as well consenting to services. Date * MM DD YYYY Thank you!