WHEREAS, I would like to have artificial eyelash extensions applied to and/or removed from my eyelashes.
WHEREAS I understand that before my qualified lash artist (“Technician”) can perform this procedure, I must complete this agreement and provide my informed consent by signing and dating where indicated below.
NOW, THEREFORE, for good and valuable consideration, the sufficiency of which is hereby acknowledged, I agree to the following:
1. I understand there are risks associated with having artificial eyelashes applied to and/or removed from my natural eyelashes and acknowledge that even when artificial eyelashes are applied with the utmost of care, there are still risks associated with the procedure and products, including but not limited to eye irritation, eye pain, eye itching, eyelid swelling, glue allergy, difficulty breathing, discomfort and in rare cases eye infection and/or blindness. I understand and agree that if I experience any of these issues with my lashes that I will contact my servicing technician to have them removed immediately and consult a physician at my own expense.
2. I understand that an eyelash adhesive will be used to attach to my natural eyelashes. I understand that even though my servicing technician may apply and remove my lashes properly, adhesive materials 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.
3. I understand and agree to follow the after care and maintenance instructions provided to me by my servicing technician for the use and care of my lashes I understand and agree that if any follow up care is required due to my own mistake or negligence, or failure to follow the aftercare instructions, it shall be at my own expense.
4. I further understand and agree that if I do any of the following, it may result in damage to my lashes and/or eyes or may cause my lashes to fall off prematurely: use of oil based eye products that will loosen the bond of my lashes; use waterproof mascara; curl, perm or tint my lashes; pick, pull, rub or attempt to remove my lashes. I understand and agree that I must have my lashes professionally removed by a qualified lash Technician.
5. I acknowledge and agree that I have read and completed the Client Intake Form. I acknowledge and agree that I have been advised of the potential harmful or negative side effects that artificial eyelash extension application and/or removal may cause to those with specific medical or skin conditions. I further understand that the adhesives and adhesive removers are a skin, eye and mucus membrane irritant and that some people may be allergic or have hypersensitivity to ingredients, which may be present in the adhesive such as synthetics, cyanoacrylates, or formaldehydes. I further understand that in order to have the eyelash extensions applied to my eyelashes I will need to be lying in a reclined position with my eyes closed for a duration of 60 minutes or more during the application. I hereby acknowledge and agree that I do not have any medical conditions that might be aggravated by this procedure, taking any medications, or any medical condition that would prevent me from complying with Lashes and/or the Technician’s instructions or the warnings herein.
6. I hereby grant my servicing technician the full right to take, publish copy and modify photographs of me, my face, my eyes and/or eyelashes, both before and after the application for any and all purposes whatsoever. I hereby assign any and all copyrights in such photographs to Euphoria Studios and grant my consent for euphoria studios to use my image and likeness for any purpose whatsoever.
7. I hereby acknowledge and agree that there is more than one technique for applying lash extensions to my eyelashes and waive any liability from illumino and/or Technician as a result of this procedure or the use and/or care of my lashes. I further agree to defend, indemnify and hold harmless Euphoria Studios and my servicing technician, and their respective officers, directors, agents, employees, successors and assigns, from any and all claims, actions, expenses, damages and liabilities (including reasonable attorney’s fees) which might be asserted against them as a result of having this procedure performed, or my purchase of any products from Euphoria Studios.
8. This agreement shall remain in full force and effect from the date written below and continue thereafter until terminated in writing by all parties.
9. I understand and agree that this agreement is binding upon heirs, my legal representatives, assigns and me. I represent that I have read and fully understand all information contained herein, that I am over the age of 18 years and have the right to enter into this agreement, or if I am under the age of 18 years of age, I have my parent or legal representatives consent to this agreement.
10. This agreement shall be governed and construed in accordance with the laws of the State of Florida applicable to contracts entered between Florida residents to be entered into and performed entirely within the State of Florida without consideration of any principles of conflicts of laws. Any action or arbitration regarding enforcement of this Agreement shall be brought exclusively in the county of Lee, Florida.
