Read the following statements before signing.
I agree to have eyelash extensions applied to my natural eyelashes and/or remove and retouched. By signing this agreement, I consent to the placement and removal of the eyelash extensions by the certified eyelash extension specialist.
I understand that there are risks associated with having eyelash extensions applied to or removed from my natural eyelashes. I further understand that as part of the procedure, eye irritation, eye itching, and in rare cases, an eye infection can occur. I understand that if I experience any of these conditions with my lashes, I will contact the certified lash professional and have the extensions removed immediately at no cost to me, and I will consult with a physician at my own expense. I understand that even though the certified eyelash extension professional applies or removes the eyelashes using the proper technique, the instruments, tapes, cleansers, eye pads, adhesives and removers used may irritate my eyes or require a physician's follow-up care.
I understand and agree to the after-care instructions provided by the eyelash extension professional. I realize and accept the consequences of failure to adhere to these instructions, as it may cause the eyelash extensions to fall out prematurely, cause natural lash damage, and/or decrease the time the lashes will last. These after-care directions include: Do not use mascara. Do not use sunscreens, oil based products or oil based removers around the eyes. Keep your lashes dry for the recommended 24 hours. No picking, pulling, or rubbing your extensions. Do not curl or trim your lashes. Keep your lashes clean, dry and brushed.
I understand that if I have any concerns, I will address these with my certified lash extension specialist. I give permission to my certified lash extension specialist to perform the lash extension procedure we have discussed, and will hold her harmless and nameless from any liability that may result from this treatment. I have accurately signed to all of the statements above the questions above. I understand my lash extension specialist will take every precaution to minimize or eliminate negative reactions as much as possible. In the event that I may have additional questions or concerns regarding my treatment, I will consult the lash extension specialist immediately. I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I certify that I have read, and fully understand, the above paragraphs and that I have had sufficient opportunity for discussion to have any questions answered. I understand the procedure and accept the risks. I do not hold the lash extension specialist, whose signature appears below, responsible for any of my conditions that were present, but not disclosed at the time of this procedure, which may be affected by the treatment performed today.