• The Luxury Lash Studio

    707 White Horse Pike Suite A6 Absecon, NJ 08201
  • LASH LIFT / BROW LAMINATION + TINT

    Client Consent Release Form
  • I AM INFORMING MY TECHNICIAN OF ANY OF THE FOLLOWING CONTRAINDICATED CONDITIONS FOR THE LASH LIFT.

    Wearing contacts ( please remove during service )

    Dry Eye Syndrome

    Currently having Chemotherapy

    Allergies to adhesive tape, fumes or eye remover

    Ocular Rosacea

    Sjorgen's Syndrome

    I AM INFORMING MY TECHNICIAN OF ANY OF THE FOLLOWING CONTRAINOICATED CONDITIONS FOR THE BROW LAMINATION.

    Currently having Chemotherapy

    Psoriasis

    Eczema

    Alopecia

    Sun Burn

    Ultra Sensitive Skin

    Wounds in the treatment area

    I CONSENT TO HAVE MY EYES CLOSED AND COVERED FOR THE DURATION OF THE 45-90 MINUTES 

     

  • I agree to have an eyelash lift, brow lamination, and/or eyelash tint applied to my natural eyelashes and/or retouched.

    By signing this agreement, I consent to the procedure of an eyelash perm, brow lamination or eyelash tint by my technician at The Luxury Lash Studio. I understand there are risks associated with having an eyelash perm, brow lamination and/or eyelash tint. I further understand that as part of the procedure, eye irritation, eye pain, eye itching, discomfort, and in rare cases eye infection or blurriness could occur.

    I understand that some mild but normal symptoms may occur with the brow lamination depending on the sensitivity of my skin during the procedure and can subside in 24 hours. These symptoms may include mild tingling, slight redness due to brushing the hairs, slight warmth in the area. I agree that if I experience any of these medical conditions with my lashes that I will contact my technician at The Luxury Lash Studio and consult a physician at my own expense.

    I understand that even though my technician perms the lashes/brows using the proper technique, the instruments, tapes, cleaners, eye gel pads, adhesives, and removers used may irritate my eyes/brows or require a physician's follow-up care. 

    I understand and agree to the care instructions provided by my technician at The Luxury Lash Studio for the use and care of my permed and/or tinted eyelashes /eyebrows. I realize and accept the consequences of failure to adhere to these instructions may cause the eyelashes to not stay permed as long as told.

    I agree to the following

    Post- Lash Lift:

    No water can come in contact with the eye area for 24 hours after the application.

    Avoid makeup such as mascara, eyeliner, or brow pencil for the first 24 hours.

    Avoid using oil-containing sunscreens, moisturizers, and cleansers on lashes for 24 hours.

     

  • PERSONAL INFORMATION

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  • I am over 18 years of age and consent to the agreement and to treatments or have a parent with me that consents to this service.

    This agreement will remain in effect for this procedure and all future procedures conducted by my technician at The Luxury Lash Studio. 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 release my technician and The Luxury Lash Studio from all liability associated with this procedure, which is performed with the utmost attention to safety and proper application using tools and products that the technician at The Luxury Lash Studio has been professionally trained to use. There are no guarantees for the length of time the lashes will stay permed.

    I understand the aftercare instructions and will do my part to maintain my eyelashes. I understand that there are many factors that may affect the life of the eyelash lift such as water and moisture contact, weather conditions, and activities involving exposure to high temperatures.

    BY SIGNING BELOW. I ACKNOWLEDGE THAT I HAVE READ THE ABOVE INFORMATION AND THEREBY CONSENT AND AGREE TO THE TREATMENT WITH ITS ASSOCIATED RISK. I HEREBY CONSENT TO RECEIVE A LASH LIFT / BROW LAMINATION + TINT.

  • CLIENT

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