Eyelash Extension Consent and Agreement Form

Haus of Beauty Lash Extension Consent/ Appointment Form

**Thank you for taking the time to fill out this pre-appointment liability/ consent form before your appointment. Please keep in mind it is a requirement for this form to be completed prior to every scheduled appointment**
I agree to have synthetic eyelash extensions applied to my natural eyelashes and/or removed and retouched.I understand that in rare occasions there are risk associated with having artificial eyelashes and eyelash extensions applied to or removed from my natural eyelashes. In further detail, I understand there can be redness, eye irritation and discomfort that could occur. If I experience any of the symptoms I agree to advise the professional performing the lash extensions before, during, or after the service which can also result in a removal.I understand and agree to the aftercare instructions provided by the eyelash extension professional for the use and care of my eyelash extensions. I understand the downfall of not following aftercare instructions and accept the circumstances that failure to adhere may cause premature fall out. I also understand I have 48 hours to notify the Haus of Beauty, LLC. for a complimentary fix otherwise after that will be charged accordingly.I am informing the eyelash extension professional of any medical condition, allergies, or anything else health related.This agreement will remain in effect for this procedure and all future follow ups conducted by the eyelash extension professional. I have fully read all information in this agreement. I am over 18 years of age and consent to the agreement and to the eyelash extension procedure.If I am NOT over the age of 18, I agree to have a guardian sign below to give consent to proceed with this procedure and to follow all policies in place with the Haus of Beauty, LLC.
Guardian Signature and Date:
I understand the above symptoms and affirm that I, as well as all household members, do NOT currently have, nor have experienced the symptoms listed above WITHIN THE LAST 14 DAYS.I affirm that I, as well as all household members, have NOT been diagnosed with COVID-19 WITHIN THE PAST 14 DAYS.I affirm that I, as well as all household members, have not knowingly been exposed to anyone diagnosed with COVID-19 WITHIN THE PAST 14 DAYS.I affirm that I, as well as all household members, have not traveled outside of the country, or to any city considered to be a "hot spot" for COVID-19 infections WITHIN THE PAST 14 DAYS.I waive all liability of Haus of Beauty, LLC. if I unavoidable contract COVID-19.I understand that due to the frequency of visits of other clients, the characteristics of the virus, and the characteristics of eyelash extension services, that I have elevated the risk of contracting the virus by being in a public setting, such as this location and accept that risk.I understand the COVID-19 virus has a long incubation period, during which carriers of the virus may not show any symptoms and still be highly contagious. It is impossible to fully determine who is positive and who is not, given the current limits of screening in this location and I accept the risk.
I hereby grant and authorize my lash tech the rights of my image, likeness and sound of my voice as recorded on audio or video without payment or any other consideration. I understand that my image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally I waive any right to royalties or other compensation arising or related to use of my image or recording.I understand my photo and/or video will be published electronically via the internet but not limited to social media.I acknowledge that I have completely read and understand above. I hereby release any and all claims against any person or organization utilizing this material.
I understand my card information will be required to book an appointment. However, my card will NOT be charged until instructed to do so, I also understand other payment methods are available.I understand in the case of a no-show I will be charged 50% of the service requested and will no longer be able to book with the Haus of Beauty, LLC.I understand if I am 15 minutes late to my scheduled appointment it will be cancelled and I will be charged 25% of the service requested.I understand in the case of an allergic reaction I will notify the Haus of Beauty, LLC. to have them removed.I understand the different payment methods (cash, zelle or card) and if I chose to pay with card I agree to being charged a 3.5% transaction fee.NO REFUNDS, NO EXCEPTIONS.
I will not wear any makeup.I will not wear contact lenses. (Glue can potentially melt them, and may cause irritation due to having eyes shut during the process.)I will come with clean lashes.I will arrive on time.I will avoid caffeine before my scheduled appointment.
I will not wet or steam my lashes for the first 24-48 hours.I will sleep on my back to avoid damaging lashes.I will not use mascara.I will avoid oil products around the eye area.I will not pull on/out lash extensions.I understand that we lose 3-6 lashes daily per eye from natural shedding and if I see my natural eyelash attached to an extension it does not mean they are damaged.I will not curl my eyelashes and will avoid heat around the extensions as they will burn.
Name*

First NameLast Name
Cell phone *

Area CodePhone Number
Email
example@example.com
Date*

MonthDayYear
Date
Signature *
I agree and sign.
Should be Empty:

Haus of Beauty Lash Extension Consent/ Appointment Form