Eyelash Extension Consent Form

EYELASH EXTENSION CONSENT FORM

Thank you for choosing Cc iLashes💕 I am looking forward to your lash journey with me
Name

First NameLast Name
Birthday

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Phone Number

Area CodePhone Number
Email
example@example.com
How did you hear about Cc iLashes?

Other
Health History | Please check any of the following that applies to you

Other
Have you ever had eyelashes extensions before?
TERMS & AGREEMENT

Please read carefully, making sure that you are understanding everything. Be sure to clearly write your initials for every section down below.🤍
INITIAL* I hereby agree to have eyelash extensions applied to my natural lashes and consent to the placement and/or removal of the eyelash extensions by the certified professional.
INITIAL* Please note that if you arrive 15 minutes later than your scheduled appointment your appointment will be cancelled and you will have to rebook.
INITIAL* If you are up to 15 minutes late for your appointment, it can still go ahead but your appointment time will be reduced.
INITIAL* I understand and agree to the after-care instructions provided by the certified eyelash extension professional for the use and care of my eyelash extensions. I realise 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.
INITIAL* I understand and consent to having my eyes closed and covered for the duration of approximately 60-120 minute procedure. Times may vary depending on the type and number of eyelashes applied.
INITIAL*I am informing the certified eyelash extension professional of the following conditions by marking with a check:
Please answer:
INITIAL* I, as a client agree to disclose my allergies that I may have to latex, surgical tapes, cyanoacrylate, adhesives, vaseline, etc
INITIAL*I, as a client, understand that some risks of this procedure may be but are not limited to eye redness, swelling, irritation, burning and in rare cases blurry vision and allergic reaction due to the bonding agent.
INITIAL* I agree to the following eyelash extension follow-up and maintenance instructions:
Check✅
INITIAL* I, as a client, agree that by reading and signing this consent form, I release “Cc iLashes” from any claims or damages of any nature
INITIAL* I, as a client, agree that I have read and fully understand this entire consent form. I am of sound mind and am capable of executing this waiver myself.
If you experience an unreasonable amount of lashes falling out, please be sure to contact me within 48 hours of your original appointment date. When contacting me within those 48 hours we can schedule a complementary touch up within the week of your original appointment. (It is your responsibility to contact me within those 48 hours and also your responsibility to schedule that appointment through the website)
By signing your full name below, you as a client, fully understand and agree to this policy.
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Client Signature
Should be Empty:

EYELASH EXTENSION CONSENT FORM

TERMS & AGREEMENT