• Eyelash Extensions + Lash Lifts

    Client Information Form
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  • Eyelash extensions require medical tape and adhesives that may contain acrylic or latex.

  • PLEASE CHECK ANY OF THE FOLLOWING THAT MAY APPLY TO YOU:

  • I understand, have read and completed this questionnaire truthfully. I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I understand that withholding information or providing misinformation may result in contraindications and/or irritation to the skin from treatments received. I am aware that it is my responsibility to inform the aesthetician of my current medical or health conditions and to update this history. The treatments I receive here are voluntary and I release skinSPArations and/or the skin care professional from liability and assume full responsibility thereof.

  • To cancel an appointment please test 920-216-5338 or email skinSPArations@gmail.com at least 24 hours prior to your appointment.

    Cancellations or Reschedule less than 24hrs notice will be subject to the following:

    • First occurance 50% charge of service, after that 100% charge of service
    • No Show or Missed Appointments 100% charge of service
  • Care and Maintenance

    I agree to follow the care and maintenance instructions provided by the eyelash extension artist for the use and care of my eyelash extensions, and that 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 eyelash extensions or may cause my lashes to fall off prematurely. Knowing this I agree to follow these tips for best results:

     

    I will avoid oil based eye products, as these will loosen the bond of my eyelash extensions.

    If I experience any itching or irritation, I agree to contact a medical doctor immediately and the eyelash extension artist to have the eyelash extensions removed.

    I agree to avoid using waterproof mascara and to not use an eyelash curler, perm, or tint my eyelash extensions.

    I agree to not pick, pull or rub my eyelash extensions.
    I understand that I should not attempt to remove my lash extensions on my own or with any product, but that the procedure requires that my eyelash extensions be professionally removed.
    I understand that if I pick, pull on, or rub my eyelash extensions it may result in the premature temporary and permanent loss of my artificial and natural eyelashes.

  • I understand before/after photos will be taken for legal purposes and also grant permission to skinSPArations to use photos of my progress for marketing purposes on www.skinSPArations.com or other business listing pages such as Instagram.

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