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  • LASH EXTENSION CLIENT LIABILITY WAIVER

    LASH EXTENSION CLIENT LIABILITY WAIVER. PLEASE READ BEFORE SIGNING
  • Cancellation Policy
    Your appointment time is reserved just for you. A late cancellation or missed visit leaves a hole in the eyelash extension artist's day that could have been filled by another client. As such, we require 24 hours notice for any cancellations or changes to your appointment. Clients that provide less than 24 hours notice or miss their appointment will be charged a cancellation fee. I understand while making my appointment a card is required to book and pay a deposit for my service. I will allow and understand there will be cancellation fees & charges to my card. I understand if I do not show up within the 15 minute grace period without any contact to Janel, I will be charged a cancellation fee of 30% of the service. I understand that not showing up is a loss for another client who could've took my spot.

    I know there are risks associated with having artificial eyelashes applied to and/or removed from my existing eyelashes, and that not withstanding the utmost of care in the application or removal of these products, there still exist risks associated with the procedure and product itself, which include, without limitation, eye irritation, eye pain, discomfort, and, in rare cases, blindness even when applied in the usual manner.


    If I experience any irritation, redness, puffiness, itchiness, an allergic reaction or any other side effect of this procedure, I will contact a medical doctor immediately.
    As part of this procedure, I understand that a certain amount of eyelash adhesive material will be used to attach the artificial eyelashes to my existing eyelashes. Even though the eyelash extension artist may apply or remove my eyelash extensions in the usual manner, I understand adhesive material may become dislodged during or after the procedure, which may irritate my eyes or require further follow-up care, at my own expense to prevent damage to my eyes. I also understand there is more than one technique for applying eyelash extensions to my eyelashes, and I will not attribute any liability to the eyelash extension artist as a result of this procedure or the use and care of these lashes.
    As part of the removal procedure, I understand that a certain amount of chemical adhesive remover is applied to existing adhesives and a reaction occurs to dissolve the adhesive that results in the thinning of the remover. Even though the eyelash extension artist may apply or remove my eyelash extensions in the usual manner, I understand the liquid remover may seep into my eyes, which may irritate my eyes or require further follow-up care, at my own expense to prevent damage to my eyes.

    I also agree to defend, indemnify and hold harmless the eyelash extension artist from any and all claims, actions, expenses, damages and liabilities, including reasonable attorneys’ fees which might be asserted against her as a result of my having this procedure performed, or my purchase of these eyelash extension products from her.


    I hereby grant the eyelash extension artist (Janel) the full right to take, publish and reproduce photographs of me, my face, my eyes and/or eyelashes, both before and after this procedure, for any advertising, education, or other purposes whatsoever, including the right to retouch these photographs as deemed necessary by the eyelash extension artist. I further expressly assign any copyright in these photographs to the eyelash extension artist. I also grant my consent for the eyelash extension artist to use my image and likeness as contained in these photographs for any advertising, content, or other purposes

  • BY PRINTING YOUR NAME BELOW, I VERIFY THAT I HAVE READ AND UNDERSTAND THE ABOVE STATEMENTS AND AGREE TO THEM.
  • Date
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  • BROW LAMINATION CLIENT CONSENT FORM

    By signing this consent form I agree and understand that:
  • -Recent brow lamination (6-8 weeks)
    -Henna tinted brows (must wait 10 weeks)
    -Recent eye surgery/face lasers/botox/fillers
    -Recent permanent brow makeup
    (must be healed by 6 weeks)
    -Ultra sensitive skin/sunburn/blood thinners/alopecia
    -Eczema/ psoriasis (itchy dry skin patches)
    -New scar tissue on/around brow area
    -Pregnant/breastfeeding (must have ask doctor prior)
    -Any type of facial, chemical peel, enzyme peel 
    -Retinol/accutane and AHA's (any prescription acne medication)

  • Date
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  • Client Intake Form for Ombre Powder Brows (PMU)

    General information:
  • Format: (000) 000-0000.
  • Do you currently or have you had any of the following? Please check all that apply:
  • I grant permission to:

    • Take and use: photographs and or digital images of me for use in news releases, educational materials, and / or social media platforms including but not limited to Instagram, Facebook, Twitter, Tik Toc, and Pinterest, etc.
    • I acknowledge that this procedure may alter my appearance and that no representations have been made to me as to remove my microshading/ombre powder brows.
    • To my knowledge I do not have a physical, mental, medical impairment or disability which might affect my well-being as a direct or indirect result of my decision to have microshading/ombre powder brows.
    • If a dispute arises out of or relates to this contract, or the alleged breach thereof, and if the dispute is not settled through negotiation, the parties agree first to try in good faith to settle the dispute by mediation within 30 days before resorting to arbitration, litigation, or some other dispute resolution procedure.
    • I understand that there is a possibility of an allergic reaction to the pigments, anesthetic, or ointments used. I acknowledge it is not reasonably possible for my technician to determine whether I might have an allergic reaction to the pigments, anesthetic, or ointment used in this process. A patch test is advisable however it does not ensure I will not have an allergic reaction. If waived, I release the technician from liability if I develop an allergic reaction to the pigment
  • Please check the following if you’ve read & agree:
  • By signing below, I agree to the following:

    I have read or have had read to me the contents of this whole form. I understand the risks and alternatives involved in this/these procedures and I have had the opportunity to ask questions and all of my questions have been answered. I accept full responsibility for the decision to have this cosmetic tattoo work done and understand that there is a no refund policy. I acknowledge that I have reviewed and approved the material given to me.

  • Date
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