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Registration Form

Please fill this out to the best of your ability and we will then contact you at an appropriate time to set up an over the phone skin consultation.

Bondi lash & beauty clinic

Personal Details

Date of Birth

Used to create an account for you.

Current Skin Care Routine

Medication

Medical conditions

Have you ever had any of the following?

Since when? What part of the body?

Epilepsy

Skin Type

Thank you for filling out our consultation form and welcome to our online store. One of our experienced therapists will be in touch in the next business day. We look forward to helping you with your skin care journey.

Bondi Lash and beauty clinic.