I authorize my esthetician/salon professional at ReeDawn Rose Beauty/Rosetreatment Room hereinafter collectively referred to as my “Esthetician or Salon Professional" to perform eyelash extensions or lash lift services on my face/eye area. I understand that eyelash extensions requires individual synthetic eyelashes to be glued to my own natural lashes. I understand that Lash Lifts contain a chemical that will be put on my natural lashes to allow them to curl upward. I understand that it is my responsibility to remain still during the application and to keep my eyes closed during the entire process until otherwise advised. I acknowledge that my esthetician has explained to me the methods and procedures concerning the services I have requested and the risks associated. These risks may include, but are not limited to, temporary eyelash loss as a result of improper application techniques or through improper post-application care, transient eye redness and irritation, and allergic reaction to the adhesive, under-eye gel patches or foam tape and other products. I hereby consent to the services at my own risk. If at any time I am uncomfortable with the service, I will inform my esthitician and s/he will use good faith efforts to rectify the problem, including ending the service if I, or my esthetician sees fit. If my esthetician is uncomfortable with any service, s/he will discuss his/her concerns with me and may end the session if necessary. I acknowledge that I have received no guarantees, warranties, promise, and/or commitments regarding the service or the products used or applied therein or other statements as to the results of this service. I have revealed or disclosed all conditions and circumstances regarding my health and health history, medications being taken and any past reactions to products used or medications taken. Additional conditions could occur or be discovered during or after the procedure, which could affect my ability to tolerate the procedure.

I, THE UNDERSIGNED, HEREBY FULLY RELEASE, WAIVE, COVENANT NOT TO SUE, AGREE TO HOLD HARMLESS, AND FOREVER DISCHARGE my esthetician, companies associated with them, from any and all liabilities, demands, claims, losses, injuries, or damages, including court costs and attorneys’ fees and expenses, of any nature arising out of skincare services rendered, EVEN THOUGH CAUSED IN WHOLE OR IN PART BY A PRE-EXISTING DEFECT, THE NEGLIGENCE (WHETHER SOLE, JOINT OR CONCURRENT), GROSS NEGLIGENCE, STRICT LIABILITY OR OTHER LEGAL FAULT OF MY Esthetician or Salon Professional OR OF ReeDawn Rose Beauty/Rosetreatment Room.

IT IS MY EXPRESS INTENT THAT THE ABOVE RELEASE INCLUDES THE RELEASE OF MY Esthetician (INCLUDING THE INDIVIDUALS AND ENTITIES LISTED ABOVE) FROM THE CONSEQUENCES OF THEIR OWN NEGLIGENCE.

It is also my express intent that this Waiver and Release Form shall bind the members of my family and spouse, if I am alive, and my heirs, assigns and personal representatives, if I am deceased, and shall be governed by the laws of the State of Georgia.