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Insurance, Waivers & Consult Form – For viewing purposes only


EMAIL ADDRESS:______________________________________________

CELL PHONE NUMBER:_______________________________________________

HOW DID YOU HEAR ABOUT US: ______________________________________________

REFERRAL NAME: ______________________________________________________

Proper home care is crucial for maintenance of your Lash or Brow enhancements.  For best results you must follow all recommendations given to you on your take home aftercare sheet.

I grant Luxy Beauty Courses permission to use any photos or images taken for advertising purposes. 

Clients who are hyper sensitive or have concerns with allergies MUST have a patch test done at least 24 hours prior to the procedure. 

It has been recommended to perform a patch test prior to any Eyelash Extension procedure; however, I do not want a patch test against recommendation of the technician and I am waiving the patch test. 



 Please circle all that apply:

Positive Reaction to Patch Allergy Test
Cuts, Abrasions or Swelling Near Procedure Site
Recent Lash Service
Recent Operations Near Procedure Site
Skin Traumas
Contact Lenses (Remove prior to service)
Weak Eyelashes (Recommended growth serum, review in 2 months)
Chemotherapy or Post Chemotherapy
Eye Infection
Skin Disease
Habits of Rubbing or Picking Your Lashes

I’ve received a thorough consultation and pledge to follow the maintenance recommendations made by my technician. I take full responsibility for the maintenance of my Lash/Brow enhancements. The technician has discussed the realistic results that I will be able to achieve from this service 

Initials ______________________




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What They're Saying...

Loved the courses! I'm feeling very confident in the skills I’ve learned. Great in depth videos.

Deanna Alberta, Tiny Tattoo, Eyeliner

Did the zoom course for Nano brows and my instructor was amazing. A very in depth course. Was certified right away after doing my model. So happy with this school. Also Did the online course for Brow lamination and lash lift online and those courses were also thorough and in depth. Will be taking more courses soon :))

Megan Ontario, Nano Brows, Brow Lamination, Eyelash Lift

I was very happy with the training. Alice was thorough, to the point and able to answer all my questions! I would recommend Luxy to anyone seeking quality online training opportunities.

Carolyn. V Ontario, Microneedling

Luxy is amazing! If you’re ever looking into doing some online courses, they are the BEST!! Alice is a wonderful teacher; very educated, thorough and friendly. I’m so glad to have found them the be able to enhance my career from my home! The entire team at Luxy is amazing!

Mackenzie Ontario, Microblading, Microneedling

Such an amazing experience. Very quick and thorough course. Very laid back and stress-free zone! They are very flexible and understanding. My model was my dad and he fell really ill the day he came over for his brows. They called me right away and reassured me they'd reschedule and work with me to become certified asap! So thankful. Definitely feel prepared and have resources to look back on!

Rachel Virginia, Nano Brows

It was amazing and fun at the same time. I'm so happy to receive another achievement. Thank you so much Luxy Beauty Courses!

Stefanny Alberta, Eyelash Extension

Thank you guys!! Since doing some of your courses I've gained a lot of knowledge to be able to thrive in the industry!

Jessica Newfoundland, BB Glow, Eyelash Extension

Great class!

Marisleysis Florida, Eyelash Extension

My instructor was great and very informative!

Bobbie, G. Texas, Lip Blushing

Loved the course, everything was explained well. Any questions I have had were always answered promptly and in detail and shipping is speedy! A pleasure to speak to Luxy assistants.

Michelle, W. Canada, Microshading

I would like to say this is first educational program I’ve gone through that genuinely helped me when I had questions, so thank you from the bottom of my heart for everything you & the company do!

Lora, L. California, Lash Package

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