I have agreed to allow Lash Reveal to perform the Lash Lift and/or Brow Lamination and/or Tint procedure. Before my technician can perform this procedure, I understand I must complete this agreement and provide my informed consent by signing and dating where indicated below.
1. Waiver of Liability: I understand there are risks associated with having this procedure, and that even with the utmost of care in the application of these products, there still exist risks associated with the procedure and product itself, which include without limitation, skin irritation, discomfort, redness; and in rare cases, itchiness, or allergic reaction.
As part of this procedure, I understand that 1. My lashes and/or brows will be cleansed. 2. Glue will be applied to tools to shape my brows or lashes, it will be applied to the hair and skin. 3. Barrier cream or tape will be applied around the brow / eye area. 4. The following solutions will be applied to my lashes and brows including perming solution, neutralizing solution and hydrating serum, as well as optional tinting solutions. 5. Seran wrap may be applied on the brows during processing. 6. Brows will be shaped by tweezing / waxing at the end of the service (optional).
I have been fully informed in the methods and procedures concerning the Lash Lift or Brow Lamination & Tint procedure. As well as the risks associated with the cosmetic procedure. I understand there is more than one technique and brands of solutions and I will not attribute any liability to Lash Reveal as a result of this procedure. I also agree to indemnify and hold harmless Lash Reveal from any and all claims, actions, expenses, damages, and liabilities that may be asserted as a result of having this procedure done or the purchase of the service.
It has been represented to me that no guarantees, warranties, promises, commitments or other statements as to the results of this treatment have been made and I am consenting to this procedure at my own risk. All conditions must be revealed or disclosed to my technician regarding my health history, medications that have been or are being taken and any past reactions to products or medications taken.
2. Permission to Use Pictures: I hereby grant Lash Reveal the full rights to take, publish and reproduce photographs of my eyes and or eyelashes, before, during and after this procedure, for advertising, education, or other purposes. I further assign any copyright in these photos to Lash Reveal. I also grant consent to use my image and likeness as contained in these photos for any advertising or other purposes.
3. Care and Maintenance: I agree to follow the care and maintenance instructions provided by Lash Reveal for the use and care of my lashes and brows, and if any follow up care is required due to my own mistake or negligence, or failure to follow these instructions, this will be at my own expense and risk. I understand that if I do any of the following, it may result in damage to my lift and tint or may cause my tint to come out prematurely.
Knowing this, I agree to follow these tips for best results: I will avoid getting my lashes and/or brows wet within the first 24 hours after my application. For the first 24 hours after my application I understand it is best to avoid swimming, saunas, and steam rooms. If I experience any itching or irritation, I agree to contact my professional immediately. I agree to avoid using makeup before and after the treatment for at least 24 hours. I agree not to pick, pull or rub my lashes or brows. I agree to not wax my brows for 5 days prior to the treatment and for 24 hours after.
I acknowledge that I have completely read through the full list of FAQ and AFTERCARE on Lash Reveals website and that I am able to reference it at anytime before or after service as well.
4. No Known Medical Conditions / Informed Consent: I have read and completed the Client Intake Form in its entirety and in truth. I acknowledge that I have been advised of the potential harmful or negative side effects that the procedure may cause to those who have specific medical or skin conditions. I understand that the products or tools used could in rare cases cause allergic reactions or irritation. I understand that the procedure requires that I lay still for up to an hour with my eyes shut. I further state that I have no known medical condition that might aggravated by the procedure or any medical condition that would prevent me from complying with or heeding to the professionals instructions or these warnings.
I understand that results vary with everyone. Overall skin conditions and aftercare will ultimately affect the retention.
Client can request that a patch test is performed ascertain potential allergic reaction to the products. However, a patch test does not always guarantee or rule out that no allergic reaction will occur.
The patch test has been discussed with the client. By signing the client DOES NOT request a patch test.
** If a patch test is requested it will be completed on a seperate form **
Client holds Lash Reveal harmless and absolves all liability resulting from allergic reactions.
Lash Reveal utilizes sterilized and/or disposable equipment to minimize the risk of infection or contamination.
This agreement will remain in effect for this procedure, and all future lash & brow procedures conducted by Lash Reveal.
I agree to inform Lash Reveal, of any medical changes or procedures done that may interfere with future services.
I acknowledge that no refunds will be given.
I acknowledge that I have read these statements in their entirety and fully understand the waiver, I certify that I am of sound mind & understand their may be other unknown risks not reasonable foreseeable at this time.
I agree that this agreement is binding upon me, and my heirs, I represent that I am over 18 years of age and that I have the right to enter this agreement, or if I am under 18 years of age, I have had my parent or legal guardian consent to this agreement, and his or hers relationship is as follows: