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    EYELASH EXTENSIONS WAIVER & CONSENT FORM

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  • DATE OF BIRTH *
     / /
    2 digit month, 2 digit day, 4 digit year
  • HOW DID YOU HEAR ABOUT US?*
  • HAVE YOU HAD LASH EXTENSIONS DONE BEFORE?*
  • DO YOU WEAR CONTACT LENSES OR GLASSES?*
  • DO YOU HAVE DRY OR WATERY EYES?*
  • DO YOU EXPERIENCE ANY ALLERGIES?*
  • ARE YOU CURRENTLY TAKING ANY MEDICATION(S)?*
  • I ALLOW PERMISSION FOR PHOTOS TO BE EDITED AND USED ON SOCIAL MEDIA FOR ADVERTISING AND/OR TRAINING PURPOSES*

  • I UNDERSTAND THE FOLLOWING:

  • I   *   *   AGREE TO HAVE EYELASH EXTENSIONS APPLIED TO MY NATURAL EYELASHES, REMOVED, OR RETOUCHED BY THE CERTIFIED EYELASH EXTENSION TECHNICIAN.

    • I UNDERSTAND THAT THIS PROCEDURE ENTAILS WITH SYNTHETIC EYELASHES BEING APPLIED.
    • I UNDERSTAND THAT I HAVE TO KEEP MY EYES CLOSED THROUGHOUT THE ENTIRE PROCEDURE (UP TO 3 HOURS).
    • I UNDERSTAND THAT THERE ARE POSSIBILITIES FOR REDNESS, IRRITATION, SWELLING, ITCHINESS, AND OTHER RISKS THAT CAN ARISE DURING AND/OR AFTER THE PROCEDURE.
    • I UNDERSTAND AND AGREE TO FOLLOW THE AFTER CARE TREATMENT FOR MY EYELASH EXTENSIONS.
    • I UNDERSTAND THAT THIS PROCEDURE IS SEMI-PERMANENT AND MY NATURAL LASHES WILL CONTINUE TO GROW. REGULAR FILL APPOINTMENTS MUST BE BOOKED TO MAINTAIN A FULLER SET.
    • I UNDERSTAND A 50% NON-REFUNDABLE DEPOSIT IS REQUIRED FOR ALL NEW SETS/CLIENTS AND THE REMAINING BALANCE IS REQUIRED AT THE END OF THE SERVICE.
    • I UNDERSTAND THAT I MUST CANCEL OR RESCHEDULE MY APPOINTMENT AT LEAST 24 HOURS IN ADVANCE. FAILURE TO PROVIDE NOTICE WILL RESULT IN A CHARGE OF 50% OF THE SCHEDULED SERVICE FEE (OR FORFEITED DEPOSIT).
    • I UNDERSTAND THAT NO SHOWS WILL NOT BE TOLERATED. IF I FAIL TO ATTEND A SCHEDULED APPOINTMENT WITHOUT PROVIDING PROPER NOTICE, I WILL BE RESPONSIBLE FOR THE FULL PAYMENT OF THE MISSED APPOINTMENT(S) IN ORDER TO RE-BOOK.
    • I UNDERSTAND THAT ALL SERVICES ARE NON-REFUNDABLE DUE TO SUPPLY USE AND TIME.
    • I HAVE READ AND UNDERSTOOD THIS WAIVER FORM AND HAVE COMPLETED THIS FORM TO THE BEST OF MY KNOWLEDGE.
    • I UNDERSTAND THAT BY SIGNING THIS WAIVER, I RELEASE MY EYELASH TECHNICIAN FROM ANY CLAIMS.
  • DATE*
     - -
    2 digit month, 2 digit day, 4 digit year
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