By SUBMITTING THIS FORM, you agree to the following:
1) I give my permission to receive eyelash extensions, massage, facials,brows or waxing services.
2) I understand that stylist is not a substitute for traditional medical
treatment or medications.
3) I understand that the stylist,or esthetician does not diagnose illnesses or injuries,
or prescribe medications.
4) I have clearance from my physician to receive facials and massage therapy, or any other treatments I am receiving.
5) I understand the risks associated with eyelash extensions, massage therapy, facials, and waxing include, but are not limited to:
• Superficial bruising or redness
• Short-term muscle soreness
• Exacerbation of undiscovered injury
- eyelash services; losing lashes, or possible adverse reactions
I, therefore, release Butterfly Lash Lounge and the individual stylist or esthetician from all liability concerning these injuries that may occur during the session.
6) I understand the importance of informing my stylist of all medical conditions and medications I am taking, and to let the stylist know about any changes to these. I understand that there may be additional risks
based on my physical condition.
7) I understand that it is my responsibility to inform my stylist, or esthetician of any
discomfort I may feel during the session so he/she may adjust accordingly.
8) I understand that I or the therapist may terminate the session at any time.
9) I have been given a chance to ask questions about the session and my questions have been answered.
10) I understand all sales are nonrefundable and agree to proceed with scheduled appointments