Lash Lift & Brow Lamination Consent Form

Name

First NameLast Name

Phone Number

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

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

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

If you selected "other" above, please list here

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

If you selected "other" above, please list here

I consent to having my eyes closed and covered for the duration of the 45-60 minute procedure.

I wear contacts and agree to remove them prior to my appointment

Will we be adding a tint to your lash or brow service today? (If yes, please make sure to complete the tint consent form after submitting this form

I, undersigned, accept the following statements:

I agree to the following Post Instructions for BrowLamination and/or Lash Lift:

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 lifted/permed or brow lamination result. I understand the aftercare instructions and will do my part to maintain my eyebrows and eyelashes. I understand that there are many factors that may affect the life of the eyelash lift and/or brow lamination 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