I, the undersigned (Customer), consent to have TINT applied to my natural eyelashes and eyebrows (the Service) by and his/her/its staff assistants, contractors and employees (collectively herein, the Service Provider). The Service and its associated risks have been explained to me by the Service Provider in terms that I understand.
The explanation included:
- The benefits of the Service;
- The nature of the Service and how the Service will be performed;
- The types of materials and tint used during the Service;
- The most frequently occurring risks of the Service, and those risks which are unlikely to occur but which may involve serious consequences, including but not limited to the risk of experiencing: (a) Blepharitis and its associated symptoms, (b) an allergic reactions to the tint material used to color my natural eyelashes and eyebrows, (c) Traction Alopecia and its associated symptoms; (d) an eye injury due to tint falling on or into the eye; and (e) an eye or other injury occurring during the performance of the Service;
- How to properly care for the tint applied during the Service; and
- How often I should expect to need to repeat the Service and the best methods for caring for the tint after the Service is performed; and
- Factors that affect retention of tint color in eyebrows or eyelashes.