Client Consent Form for Eyelash Extensions
  • Client Consent Form for Eyelash Extensions

    ArielViewLashes and Valkyrie Studio LLC
  • Dear Customer, Please read the consent form carefully and sign the form at the bottom if you acknowledge it. By signing this form, the client understands that they are responsible to speak of any concerns with the lash extension specialist.

    I give permission to my lash extension specialist to preform the lash extension procedure we have discussed, and will hold her harmless and namless from any liability that may result from this treatment. I have accurately answered the questions below including allergies, perscription drugs or products that I have ingested or used topically. I understand that my lash extension specialist will take every precaution to minamalize or eliminate negative reactions. I will consult with my lash tech if I have questions or concerns reguarding the service. I agree that this constitutes full disclosure, and it supersedes any previous verbal or written disclosures. I certify that I have read and fully understand that I have had the sufficient oppertunity for discussion to have any questions aswered. I understand the procedure and accept the risks. I do not hold Ariel Clifton-Carr (Arielviewlashes) or Valkyrie Studio LLC responsible for any of my conditions that were present but not disclosed at the time of this procedure, which may be affected by the treatment preformed today. By signing this form, the customer agrees that he/she accepts all information, suggestions, and recommended activities or treatments provided by the Lash Technician. The customer hereby releases this salon and its employees from any liability, claims, damages, and demands that may result in injuries and loss.

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  • I agree to have Ariel Clifton-Carr, ArielViewLashes and Valkyrie Studio LLC apply eyelash extensions to my natural lashes. By signing this agreement, I consent to the placement and removal of eyelash extensions by the certified eyelash extension professional. I understand there are risks associated with having artificial eyelashes and eyelash extensions applied to, or removed from my natural eyelashes. I further understand that as part of the procedure, eye irritation, eye pain, eye itching, discomfort and in rare cases eye infection or blidness can occur. I agree that If i experience any of these medical conditions with my lashes I will contact the certified eyelash extension professional and have the eyelashes removed immediately and consult a phyician at my own expense. I undertand that even though the certified eyelash extension professional applies or removes eyelash extensions using the proper techniques, the instruments, tapes, cleansers, eye gel pads, adhesives, and removers may irritate my eyes or require a physician's follow-up care and subsequent removal of the eyelash extensions. I understand and agree to the care instructions provided by the certified eyelash extenion professional for the use and care of my ArielViewLashes and Valkyrie Studio LLC eyelash extensions. With that beind said customer acknowledges that if they do not take proper care of eyelashes as instructed it may damage natural eyelashes and the extensions to which the Lash technician is not responsible for and may turn away client at any give time.  I realize and accept the consequences of failure to adhere to these instructions may cause eyelash extensions to fall out, damage extensions and/or decrease the time lashes will last.
    I agree to the following eyelash extensions post-op and maintenance inructions:  No mascara, No oil-based products around eye area, No tinting or perming of eyelash extensions, No continuous pulling, picking, or rubbing of the synthetic eyelashes, Cleaning lashes properly one to two times a day.
     This agreement will remain in effect for this procedure and all future procedures conducted by the certified eyelash extension professional. 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 am over 18 years of age and consent to the agreement and to the treatment. I understand before and after pictures will be taken at each appointment. By signing below I verify that I have read and understand the above statments and agree to them.  

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  • Cancellations: Please make any necessary changes at least 48 hours prior to your appointment. If you have a last minute emergency and need to reschedule PLEASE CONTACT US! Every effort will be made to fill your spot.
    Cancellations or no-shows for appointments after the 48 hour period are subject to pay 100% of the total cost of service.

    Children: Please plan ahead for childcare. Your eyes are closed and there is no one to keep an eye on them.  

    Pictures: Pictures may be taken before, during, and after your service. As the property of Valkyrie Studio LLC and ArielViewLashes, and may be used for marketing and other training purposes. If you would like to opt out of having your photos posted, please let the lash extension specialist know.  

    Policy: If you are disatisfied with the service provided to you, or feel like you have more fall out than usual you are eligible for a free lash fix within the first 3 days after your service was provided if lash technician can tell there was a problem on their behalf. I understad lash extensions are a personal service offered, and therefore nonrefundable. If I am unhappy with the service received, I will contact my lash professional immediately for resolution.

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