Eyelashes Extensions Consent Form

Eye Lash Extensions Intake & Consent Form
Full Name

First name Last name
Cell Phone Number
Format: (000) 000-0000.
Email
example@example.com
I grant permission to ANDIMI BEAUTY STUDIO to use my before and after photos for marketing or examples of my technicians work. *We will make you look GLAM!*
I release ANDIMI BEAUTY STUDIO from any and all liability associated with this procedure. This service will be performed with the utmost attention to safety, sanitation, and proper application using tools and products that the technician has been trained and certified to use. This service has many variables due to lifestyle, moisture, weather, extreme temperatures, natural eyelash shedding and other factors. The technician (along with my consent form and consultation) will decide if I am a good candidate for this service to the best of their ability.
Please initial you read and understand the above.
I acknowledge and understand that the studio doesn’t offer refunds. ANDIMI BEAUTY STUDIO will do their ultimate BEST to provide a service experience to meet your satisfaction and expectations to LOVE your lashes every appointment.
Please initial you read and understand the above.
I acknowledge and understand that the studio has a CANCELLATION or NO-SHOW policies that will result in a a 50% charge of your total appointment. If you must cancel or reschedule please do so at least 24-Hours before your appointment time to avoid a cancellation fee. It must be payed thru CashApp, Venmo or Zelle.
Please initial you read and understand the above.
Eyelash extensions require on-going maintenance. Refills are recommended approximately every 2 to 3 weeks. I understand if I go beyond this recommended time it may result to an incur (higher) service cost as a full-set.
Please initial you read and understand the above.
Are you able to lay on your back for 2 - 3 hours to have your lashes applied?
The following conditions are not suitable for eyelash extensions. Possible adverse reactions are listed below each condition
Are you allergic to adhesives (glues, tapes, band aids, latex) This service may use adhesives tapes, glues and gel pads that may cause an allergic reaction. We use a medical grade, formaldehyde free glue, but allergies may still occur?
I agree and understand that ANDIMI BEAUTY STUDIO & my Lash Technician have no way of knowing if the client is allergic to some of the products or materials being used in any eye-lash procedure, though we do use sensitive eye products to ensure comfort every client is different. ANDIMI BEAUTY STUDIO does offer patch tests to those that are not sure if they are a good candidate and will help to discuss options. I will seek medical care (at my own expense) and contact my technician immediately if any allergic or adverse reaction occurs. All of my questions were answered and I understand the procedure and risks. This form is valid for ALL future appointments.
Please initial you read and understand the above
Thank you giving us the time to get to know YOU & signing the Consent form, its much appreciated towards your lash experience!
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Eye Lash Extensions Intake & Consent Form

The following conditions are not suitable for eyelash extensions. Possible adverse reactions are listed below each condition