Eyelash Extension Consent & Waiver of Liability

Eyelash Extension Consent & Waiver of Liability
Thank you so much for choosing Glamberly Beauty! I am looking forward to our time together. Please read this form in its entirety and sign before your appointment time! See you soon!
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Have you ever had eyelash extensions before?
Have you had any allergies or an allergic reaction to an eyelash extension application before?
If yes, please clarify...
Do you have or had any of the following ?
Please add any known allergies that may interfere with eyelash extension application here:
The following drugs may cause premature lash loss, leading to dissatisfaction with your lash service. Please advise your lash professional if you are taking any of the following by checking the boxes below:
CLIENT WAIVER & RELEASE

Please read each statement and acknowledge by checking each box by doing so you have READ, UNDERSTOOD and AGREE to the TERMS.
Please read each statement and acknowledge by checking each box:

I understand that in rare occasions there are risks associated with having artificial eyelashes and eyelash extensions applied to or removed from my natural eyelashes. I further understand that in some cases as part of the procedure eye irritation and discomfort could occur. I agree that if I experience any of these conditions with my lashes that I will contact the certified eyelash extension professional that performed this procedure. It may be beneficial to have the eyelashes removed (only if declared safe.) Otherwise, I may need to visit a doctor which will be my financial responsibility.I understand that if I have mentioned to having any previous reactions and/or complications or anything that my technician sees as being a possible risk, I may be requested to have a patch test 24hrs before the full application to ensure I will not have any further risks with this application or any further applications from my technician at Glamberly Beauty. Glamberly Beauty also has the right to refuse service to anyone with a previous allergy.I understand and agree to the aftercare instructions provided by the certified eyelash extension professional for the use and care of my eyelash extensions. I realize and accept the consequences of failure to adhere to these instructions may cause the eyelash extensions to fall out and/or decrease the time the lashes will last. Failure to follow these instructions may also cause irritation, infection, or damage to your natural lashes.I understand that lash extension services have some inherent risk of irritation to the orbital eye area, including the eye itself, and could result in stinging and burning, redness, and blurry vision should the adhesive fumes enter the eye or should an allergic reaction occur. Minimal moving and talking during application is highly recommended to avoid this. If an allergic reaction or irritation is to occur, a doctor visit is highly recommended and is 100% the clients’ responsibility financially.
The agreement will remain in effect for this procedure and all future follow ups conducted by the certified eyelash extension professional. I read and understand that this consent agreement is legal and binding. I have read and fully understand all information in this agreement and hereby release any and all persons representing this salon from all claims, demands, damages, actions and cause of action arising out of ther performance of the service. I have fully disclosed all condtions regarding my health history, medications and past reactions to products, treatments and medications. I am over 18 years of age and consent to the agreement and to the eyelash extension application procedure or have a legal guardian that gives their consent.
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Eyelash Extension Consent & Waiver of Liability

CLIENT WAIVER & RELEASE