Lash Extension/Lift Client Consent Form
  • Lash Extension/Lift Client Consent Form

  • Client information

  • Format: (000) 000-0000.
  • Terms & Conditions

    Please read thoroughly. Read the policies as it contains important information for your appointment.
  • PAYMENTS:
    • The remaining balance is due in cash (PREFERRED) or card.
    *Venmo, zelle, and cashapp ($5.00 extra fee)

    NON-REFUNDABLE DEPOSIT:
    • A non-refundable deposit is required to secure your date and time.
    • The deposit is added towards the total service price.
    •The deposit is non-transferable to another client or service. No exceptions.

    CANCELLATIONS & RESCHEDULING:
    • All clients can reschedule an appointment online up to 72 hours before the appointment.
    • Clients may reschedule up to two (2) times.
    • Text Alexandra if you need to reschedule within the 72-hour time frame of your appointment.
    • If you reschedule within the 72-hour time frame, the deposit will be forfeited, and another deposit is required to schedule another appointment.
    • Text Alexandra if you would like to cancel your appointment. Cancellations cannot be made online.
    • If you cancel your appointment, your deposit will be forfeited, and a new deposit is required for a future appointment.
    • Late cancellations within 24 hours of the appointment are subject to a credit card charge of 50% of the service price before any promotion application. No exceptions.
    • Emergency cancellations/reschedules require proof to waive the fees listed above. No exceptions.

    TARDY POLICY & NO-SHOWS:
    • Clients who are more than 15 minutes late must reschedule and must submit a new deposit to reserve a new appointment.
    • Any "no-call, no-shows" are subject to a credit card charge of 100% of the service price before any promotion application.

    DISCLAIMER:
    • We reserve the right to refuse service.
    • Prices are subject to change at any time.

    If you have any questions or concerns, please reach out to me via Instagram DM (@kalinaw.studios) or text me at (619) 786-3232.

    Can't wait for your appointment! ♡

    -Alexandra T.

  • Health conditions

    Certain conditions may affect lash retention/ growth, how frequent a fill appointment may be required and whether or not you are a good candidate for eyelash extensions.
    • Glycerin allergy
    • Latex allergy
    • Allergy or hypersensitivity to fromaldehyde, cyanoacrylate or adhesives/ glues
    • Use of oral contraceptives
    • Currently pregnant
    • Recent childbirth
    • Hormonal imbalance
    • Recent eye surgery
    • Recent major surgery
    • Use of retinoids (e.g. Accutane or Retin-A)
    • Use of drugs that causes hair loss
    • Chemotherapeutic agens
    • Iron deficiency
    • Permanent eye makeup
    • Dry eyes
    • Sensitive eyes
    • Watery eyes
    • Alopecia
    • Antibiotics
    • Claustrophobia
    • Extreme stress
  • I UNDERSTAND THAT:

    • The business, owner will not be held responsible for any claim or damage that may occur due to lash lift + color.
    • Individual responses to products used for lash lift may vary- should a reaction occur, it is my responsibility to seek medical attention at my own expense.
    • Individual responses to products used for lash lift + color may vary- the owner will not be held responsible for any injury or damage that may occur due to brow lamination & tint or lash lift and tint, or lash extensions.
    • I will advise the lash artist of any discomfort, irritation and or concern immediately.
    • It is my responsibility to follow the the after instructions for best results.
    • Lash Lifts can be redone every 7-8 weeks for maintaince, I understand if they may become unruly as they grow out and/or if touch ups are not done.
    • Results are not gauranteed and will vary
  • Client Waiver & Consent form

    Please read thoroughly. Sign & date below.
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  • Patch Test Consent/ Waiver

    It is always possible to have a reaction in regards to any new procedure we undertake. Please review and check the boxes as you go along to make it clear you are aware and have taken all of this into consideration.

  • By signing below, I consent to the procedure of a lash extension or lash lift and tint by my esthetician.

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  • Photo/ Video release

  • By signing up below, I verify that I have read, understand and agree with the above statements. I acknowledge my consent as initialed above, and I further recognize this consent form will supersede any other photo consent forms with a date prior to the date written below. This consent may be revoked at any time by request or by completion of a new form. Further, I release and discharge KALINAW.STUDIOS of any and all claims or actions that I have relating to such use and publication.

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