Please check each box stating you accept the following terms and conditions: Agree I understand that this procedure requires single synthetic eyelashes to be glued to my own natural eyelash.Agree 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.Agree 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.Agree I agree to disclose any allergies that I may have to latex, surgical tapes, cyanoacrylate,etc.Agree I understand that I am required to follow the eyelash extension care sheet in order to maintain the life of these lash extensions.Agree 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 agree that by reading and signing this consent form, I release Marybeth Jenkins from any claims or damages of any nature.YES NO I give consent for photographs to be taken of my lashes and used for marketing purposes. Agree. I have read and completed the Eyelash Extension Consent Form in it’s 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.
I confirm and agree that I wish to engage the services of Marybeth Jenkins to apply or remove Eyelash Extensions.