Lash Lift + Brow Lamination + Tint or Henna

 Please read and confirm.

-I’M NOT pregnant or breastfeeding. 

-I DO NOT HAVE skin condition such as: eczema, dermatitis, psoriasis, lesions or sores, open wounds.

- I DO NOT HAVE contagious skin diseases such as: herpes simplex, chicken pox, or shingles.

- I DO NOT HAVE skin trauma, cuts, abrasions, burns and swelling in the immediate area.

- I DO NOT HAVE hypersensitive skin/ eyes.

- I DO NOT HAVE recent microblading or tattooing service.

- I DO NOT HAVE recent botox and dermal fillers.

- I DO NOT USE steroid or cortizone creams.

- I DO NOT USE anti-acne medications such as Roaccutane, Doxycycline and Epiduo gel.

- I DO NOT USE anti-aging creams or medications such as Vitamin A, Retinols and Efudex or AHA’s and BHA’s( if you are you must stop  taking 6 days prior to your appointment).

I agree to have an eyelash lift, brow lamination and/or eyelash tint, brow tint or henna applied to my natural eyelashes and/or retouched. By signing this agreement, I consent to the procedure of an eyelash perm, brow lamination or eyelash tint, brow tint or henna by my technician.  I understand there are risks associated with having an eyelash perm, brow lamination and/or eyelash tint,brow tint or henna. I further understand that as part of the procedure, eye irritation, eye pain, eye itching, discomfort, and in rare cases eye infection or blurriness could occur.  I understand that some mild but normal symptoms may occur with the brow lamiation depending on the sensitivity of my skin during the procedure and will subside in 24 hours. These symptoms may include: mild tingling, slight redness due to brushing the hairs, slight warmth in the area. I agree that if I experience any of these medical conditions with my lashes that I will contact my technician and consult a physician at my own expense. I understand that even though my technician perms the lashes/brows using the proper technique, the instruments, tapes, cleaners, eye gel pads, adhesives, and removers used may irritate my eyes/brows or require a physician’s follow-up care. I understand and agree to the care instructions provided by my technician for the use and care of my permed and/or tinted eyelashes/eyebrows. I realize and accept the consequences of failure to adhere to these instructions may cause the eyelashes to not stay permed as long as told. I agree to the following Post- Lash Lift and Brow Lamination: No water can come in contact with the eye and brow area for 24 hours after the application. Avoid makeup such as mascara, eyeliner or brow pencil for the first 24 hours. Avoid using oil containing sunscreens, moisturizers and cleansers on lashes and brows for the first 24 hours. Acknowledgement and Waiver I am over 18 years of age and consent to the agreement and to treatment or have a parent with me that consents to this service. This agreement will remain in effect for this procedure and all future procedures conducted by my technician. I read English and understand that this consent agreement is legal and binding. I have read and fully understand all information in this agreement. I release my technician from all liability associated with this procedure, which is performed with the utmost attention to safety and proper application using tools and products that the technician has been professionally trained to use. There are no guarantees for length of time the lashes will stay permed. I understand the aftercare instructions and will do my part to maintain my eyelashes. I understand that there are many factors that may affect the life of the eyelash lift such as water and moisture contact, weather conditions, and activities involving exposure to high temperatures. By signing below, I verify that I have read and understand the above statements and agree to them. 

PHOTOGRAPHY AND VIDEOGRAPHY RELEASE CONSENT