Honeybee Beauty Consent and Liability Form

Honeybee Beauty Consent and Liability Form

Honeybee Beauty Eyelash Extension Intake & Consent Form
Full Name

First name Last name
Cell Phone Number
Format: (000) 000-0000.
Date of Birth

MonthDayYear
Date
Email
example@example.com
How did you hear about Honeybee Beauty?
Is this your first time having Eyelash Extensions?
Are you having lash extensions applied for?
Do you wear Contacts?
Do you often rub, pull or pick your lashes for any reason?
If Yes, explain.
How do you usually sleep? Please note, you will lose more eyelash extensions on the side on which you sleep. Sleeping on your stomach will affect them the most.
Are you able to lay on your back for 2 - 3 hours to have your lashes applied?
Are you pregnant?
Are you allergic to adhesives (glues, tapes, band aids, etc.) This service may use adhesives tapes, glues and gel pads that may cause an allergic reaction.
Do you use a lash serum to help strengthen or grow your natural lashes? It is best to discontinue the use of these products before your service and while you are wearing your lash extensions. Some contain oils/steroids and will shorten the duration of your extensions. There is eye-lash extension approved serums for your natural lashes that we can recommend while you have extensions.
Do you have a severe eye illness or are you being treated for an eye injury?
Have you had Lasik Surgery in the past 4 months? Eyes may have sensitivity to eyelash extensions and products used for prepping the eye area. (gel pads, glues, etc.)
Blepharoplasty or other eye condition or surgery in the last 6 months? Blepharoplasty, eye surgery or conditions may have sensitivity to eye-lash extensions and products used. Consult your doctor first and ask if it's safe for you to have this service
Are you currently taking Thyroid Medications? Thyroid medications or Thyroid conditions can affect lash extension longevity.
Have you had Chemotherapy treatments in the last 6 months? Medication for chemotherapy may cause a reaction to the materials used in this service. Also, if lashes are just starting to grow back they may be a little weak and we recommend waiting until they are strong enough for this service.
I understand that while every attempt will be made to provide me with the length and fullness I have chosen, my final result may not be what I initially envisioned.
Please initial to state you read and understand the content above.
I release Bailee Alvarado of Honeybee Beauty from any and all liability associated with this procedure. This service will be performed with the utmost attention to safety, sanitation, and proper application using tools and products that the technician has been trained and certified to use. This service has many variables due to lifestyle, moisture, weather, extreme temperatures, natural eyelash shedding and other factors. The technician (along with my consent form and consultation) will decide if I am a good candidate for this service to the best of their ability.
Please initial to state you read and understand the content above.
I acknowledge and understand that Honeybee Beauty doesn’t offer refunds. Bailee Alvarado will do her best to provide a service experience to meet your satisfaction and expectations to LOVE your lashes every appointment. If any issues do occur contact Bailee 24-48 Hours after service to have anything fixed.
Please initial to state you read and understand the content above.
I acknowledge Bailee Alvarado puts in her full effort to fulfill my appointment times and I respectfully acknowledge the times I schedule to be available. The following CANCELLATION policies that are also non-refundable agreements of service. You have a 10 minute grace period to your appointment, after 10 minutes pass your appointment will be canceled and you will be charged 50% of the service total. If you no call / no show your appointment, 100% of your total service amount will be charged to the card on file. Second no show offense, you will be charged the full appointment amount and will no longer be allowed to book with Honeybee Beauty. While things may happen, I advise appropriately booking.I agree to have a card stored on file securely in Gloss Genius. .
Please initial to state you read and understand the content above.
Eyelash extensions require on-going maintenance (similar to a nail service). Fills are recommended approximately every 2 to 3 weeks. I understand if I go beyond this recommended time it may result in a higher service cost as a full-set.
Please initial to state you read and understand the content above.
Eyelash Extensions require on-going aftercare. I agree to follow the written and verbal instructions Bailee Alvarado will give me on aftercare and product recommendations to be used. If improper aftercare is followed, Honeybee Beauty cannot guarantee the longevity of the applied lash extensions or the health of your natural lashes.
Please initial to state you read and understand the content above.
It is recommended to avoid all oil-based products, makeup, and skin care products around your eyes for as long as you have lash extensions applied. Oil based products, waterproof mascaras and liners will break the adhesive bond and your lashes will not last long. Let's talk approved products during your appointment. Please come to your appointments with no eye-makeup.
Please initial to state you read and understand the content above.
I agree and understand that Bailee Alvarado of Honeybee Beauty has no way of knowing if the client is allergic to any of the products or materials being used in any eye-lash procedure. Honeybee Beauty does use sensitive eye products to ensure comfort, but every client is different. Honeybee Beauty does offer patch tests to those that are not sure if they are a good candidate and will help to discuss options. I will seek medical care (at my own expense) and contact my technician immediately if any allergic or adverse reaction occurs.
Please initial to state you read and understand the content above.
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, blurry vision and potential blindness should the adhesive enter the eye or should an allergic reaction occur. I further understand that in rare 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 and it may be beneficial to have the eyelashes removed.
Please initial to state you read and understand the content above.
I grant permission to Honeybee Beauty to use my before and after photos for marketing or examples of my technicians work.
Thank you for giving Honeybee Beauty the time to get to know YOU & signing the Consent form, its much appreciated towards your lash experience!
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