Client Consent Form
ONYX Lash & Beauty
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
I agree to have eyelash extensions applied to my natural eyelashes and/or removed and retouched. By signing this agreement, I consent to the placement and/or removal of the eyelash extensions by the certified eyelash extension professional.
I understand and agree to the after-care instructions provided by the certified eyelash extension professional for the use and care of my eyelash extensions. I realize and accept the consequences of failure to adhere to these instructions may cause the eyelash extensions to fall out and/or decrease the time the lashes will last.
I agree to the following eyelash extension follow-up and maintenance instructions: No waterproof mascara No oil based products around the eye area No water can come in contact with the eye area for 24 hours after the application No tinting or perming of eyelash extensions No pulling or rubbing of the eyelash extensions.
I will give notice if I am feeling any symptoms of COVID-19. I have not traveled out of state in the last two weeks. I also have not been around an one who has been sick in the last two weeks.
I am aware of my service providers policy’s. I am also aware that these policies are put in place to protect myself and the service provider. I understand that these policies can result in a 50% to 100% charge depending on cancellation/no show policies.
I will let my service provider know if I have had any medical conditions that may concern this appointment or application of eyelash extensions.
*
*
Please select if you have any of these contraindications:
Allergic to latex
Laser eye surgery within 4 months
Stye, Abrasions, conjunctivitis, skin diseases or disorder.
Chemotherapy within the last 8 months
Dry eye syndrome/ glaucoma
Medications that effect hair loss
Bacterial, fungal or viral infections.
cold sores/herpes
Other
Submit
Should be Empty: