LASH LIFT AND TINT CONSENT TO TREAT/LIABILITY WAIVER

LASH LIFT AND TINT CONSENT TO TREAT/LIABILITY WAIVER

Please acknowledge each line and sign at the bottom
I UNDERSTAND THAT THERE ARE RISKS ASSOCIATED WITH THE LASH LIFT AND TINT PROCEDURE.*

Yes
I UNDERSTAND THAT THE LASHES WILL BE CURLED WITH AN ADVANCED SOLUTION & CONDITIONING CREAM WITH THE OPTION TO APPLY COLOR TINT.*

Yes
I UNDERSTAND THAT AS PART OF THE PROCEDURE, EYE IRRITATION, PAIN, ITCHING DISCOMFORT AND IN RARE CASES EYE INFECTION MAY OCCUR.*

Yes
I UNDERSTAND FAILURE TO FOLLOW THE AFTERCARE INSTRUCTIONS MAY CAUSE AN UNDESIRABLE RESULT.*

Yes
I UNDERSTAND THAT IN ORDER TO HAVE A LASH LIFT AND TINT PROCEDURE, I WILL NEED TO KEEP MY EYES CLOSED FOR DURATION UP TO APPROXIMATELY 60 MINUTES DURING THE PROCEDURE. I ALSO UNDERSTAND THAT I WILL NEED TO BE LYING IN A RECLINED POSITION. ANY MEDICAL CONDITIONS THAT MIGHT BE AGGRAVATED BY LYING STILL FOR A PROLONGED PERIOD OF TIME MAY MEAN THAT I WILL NOT BE ABLE TO HAVE THE PROCEDURE PERFORMED ON MY EYES.*

Yes
I UNDERSTAND THAT OPENING MY EYES AT ANY POINT DURING THE LASH LIFT AND TINT PROCEDURE IS NOT RECOMMENDED, AND MAY CAUSE AN UNDESIRABLE RESULT. I AGREE TO KEEP MY EYES CLOSED THROUGHOUT THE PROCEDURE UNLESS INSTRUCTED TO OPEN THEM BY MY TECHNICIAN.*

Yes
THIS AGREEMENT WILL REMAIN IN EFFECT FOR THIS PROCEDURE AND ALL FUTURE LASH LIFT AND TINT PROCEDURES CONDUCTED BY MY TECHNICIAN OR ANY OTHER TECHNICIAN CONDUCTING BUSINESS AT INDIGO SALON AND DAY SPA. I UNDERSTAND THAT THIS AGREEMENT IS BINDING AND THAT I HAVE READ AND FULLY UNDERSTAND ALL INFORMATION ABOVE. I REPRESENT THAT I AM OVER THE AGE OF 18 YEARS. IF BELOW 18 YEARS OF AGE A PARENT OR GUARDIAN MUST ALSO SIGN THIS FORM.*

Yes
I RELEASE MY TECHNICIAN AND INDIGO SALON AND DAY SPA FROM ALL LIABILITY ASSOCIATED WITH THIS PROCEDURE. THERE ARE NO GUARANTEES FOR HOW LONG THE LASH LIFT WILL LAST, ON AVERAGE IT LASTS BETWEEN 6-8 WEEKS. OUR COMPANY OR SALON IS NOT RESPONSIBLE FOR ANY TECHNICIAN ERRORS. I UNDERSTAND THAT I HAVE BEEN ADVISED TO FOLLOW THE AFTERCARE PROTOCOL FROM MY TECHNICIAN SO AS TO AVOID ANY DISCOMFORT OR ADVERSE SIDE EFFECTS AFTER THE PROCEDURE HAS BEEN COMPLETED.*

Yes
BY SIGNING BELOW, I VERIFY THAT I HAVE READ AND UNDERSTAND THE ABOVE STATEMENTS AND AGREE TO THEM.
Name*

First NameLast Name
Signature (parent or guardian MUST sign if client is under 18 years of age)*

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Date*

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LASH LIFT AND TINT CONSENT TO TREAT/LIABILITY WAIVER

LASH LIFT AND TINT PATCH TEST WAIVER/DISCLAIMER