Lash Lifting/Lash Tinting

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Please list any allergies or product sensitivities:
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Pregnancy Botox/fillers in the past 3 months Wear contacts None of the above Dry Eye
By SUBMITTING THIS FORM, you agree to the following:
I give my permission to receive a keratin lash infusion and/or tinting.
I understand the risks associated with lash lifting and tinting.

I, therefore, release Fresh Complexions llc and Rita Krause from all liability concerning any injuries that may occur during the session.
I understand the importance of informing my aesthetician of all medical
conditions and medications I am taking, and to let them know about any changes to these. I understand that there may be additional risks based on my physical condition.
I understand that it is my responsibility to inform my aesthetician of any
discomfort I may feel during the session so he/she may adjust accordingly.
I understand that I or the aesthetician may terminate the session at any time.
I have been given a chance to ask questions about the session and my questions have been answered.
COVID-19 INFO AND LIABILITY WAIVER

COVID-19 is a highly contagious virus that spreads from person to person. In addition to long-held and explicit sanitation measures this business has always adhered to, new preventative measures have been put in place to further reduce the spread of this novel coronavirus. However, these best practices still offer no guarantee regarding your potential risk of being infected.Consent for TreatmentI understand that, because esthetics involves maintained touch and close physical proximity over an extended period of time, there may be an elevated risk of disease transmission, including COVID-19. By signing this form, I acknowledge that I am aware of the risks involved from receiving treatment at this time, I voluntarily agree to assume those risks, and I release and hold harmless the practitioner/business from any claims related thereto. I give my consent to receive treatment from this practitioner.
Have you had a fever in the last 24 hours of 100°F or above?

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Have you been in contact with anyone in the last 14 days who has been diagnosed with COVID-19 or has coronavirus- type symptoms?

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CANCELLATION POLICY

I appreciate your business. So that I can best serve all clients, please be advised of these policies.
CHANGING YOUR APPOINTMENT
24 hours’ notice is required to reschedule or cancel a booked appointment, except in cases of contagious illness as described below. If 24 hours notice is not given, you will be charged for the appointment.
SICKNESS OR FAMILY EMERGENCY
If you, or another person in your household, has an infectious or contagious illness, please contact us as soon as possible to reschedule your appointment for a later date. There is no penalty or timeframe required in this case, for your safety and that of other clients.
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Parental consent if client is under 18 *

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COVID-19 INFO AND LIABILITY WAIVER