Lash Consent Form

Name

First NameLast Name

Birthday

Ie. December 29, 1997

YesNo

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.I understand and agree to follow after care steps. I understand that incorrect or lack of after care may results in damage to natural lashes or infection & I agree to take on that risk.I understand that in rare occasions there are risks associated with having artificial eyelashes. I further understand that in rare circumstances eye or skin irritation and discomfort may occur.I understand that because of the natural lash cycle and wear and tear, I will need to maintain my extensions with touch up appointments usually recommended about every 2 to 3 weeks to keep them full.I understand that even with a patch test there is still a potential for an allergic reaction & I agree to take on that risk.I understand that by signing this form it acts as proof & consent for today & future appointments.I understand and agree to not hold All Natural Aesthetics or its contractors responsible if any sort or reaction occurs.I agree to have my card charged a 50% fee if I cancel my appointment with less than 24 hour notice.I agree to disclose any concerning signs of sickness (particularly related to COVID-19) to my provider BEFORE my appointment. *Fee may be waved under circumstances- Thank you for being considerate to the health of our providers!

Date

Client Signature

Eyelash Extension Consent Form