Eyelash Lift and Brow Lamination and Tint Form

Name

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

I am informing my technician of any of the following contraindicated conditions for the lash lift.

I am informing my technician of any of the following contraindicated conditions for the brow lamination.

I consent to having my eyes closed and covered for the duration of the 45-90 minute lash lift procedure.

I wear contacts

If yes, you will need to remove them prior to service. Please have case and solution as none will be provided.

I, undersigned, accept the following statements:

Acknowledgement and Waiver

I am over 18 years of age and consent to the agreement and to treatment 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. 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 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 has been professionally trained to use. There are no guarantees for 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 verify that I have read and understand the above statements and agree to them.

Date

Signature