Consent Form

I understand that it is my responsibility to keep my eyes closed and be still during the entire procedure, until my eyelash technician addresses me to open my eyes.I understand that some risks of this procedure may be but not limited to eye redness and irritation. The fumes from the adhesive may cause my eyes to tear up if I open my eyes.I agree to disclose any allergies that I may have to latex, surgical tapes, cyanoacrylate, Vaseline, etc.I understand that there may be risks of any procedure including swelling, pain, infection, allergic reaction or other adverse reactions to glue or materials used during or after the procedure.I agree that by reading and signing this consent form, I release Joyful Lash Bar from any claims or damages of any nature. I agree that I read and fully understand this entire consent form. I am of sound mind and fully capable of executing this waiver for myself.I give Joyful Lash Bar to show my before and after photos of eyelashes to other potential clients.I have read and fully understand the Pricing and Possible Complications that come with this procedure.I have read and completed the Eyelash Extensions Intake & Consent form in its entirety, and have answered everything to the best of my ability. I have been informed of potentially harmful or negative side effects that may be caused by the application and/or removal of Eyelash Extensions.

Customer's Name

First NameLast Name

Phone Number

Area CodePhone Number

How did you find us?(Referrer`s name )

I confirm and agree that I wish to engage the services of Joyful Lash Bar to apply eyelash extensions.

Customer's Signature

Date Signed

Date