Lash Extension Client Liability Waiver
Aestheticsbymickllc
I, undersigned, agree with the following statements:
I UNDERSTAND THAT THERE ARE RISKS ASSOCIATED WITH HAVING ARTIFICIAL EYELASHES APPLIED TO AND/OR REMOVED FROM MY NATURAL LASHES.
I UNDERSTAND THAT RESULTS MAY VARY AND IF MY NATURAL LASHES ARE NOT SUITABLE FOR THE DESIRED SET, ANOTHER OPTION MAY BE OFFERED OR IN CASES WHERE YOUR NATUAL LASH HEALTH CAN BE COMPRIMISED I MAY BE TURNED AWAY TO MAINTAIN MY LASH HEALTH.
I UNDERSTAND THAT AS PART OF THE PROCEDURE, EYE IRRITATION, PAIN, ITCHING DISCOMFORT AND IN RARE CASES EYE INFECTION MAY OCCUR.
I UNDERSTAND AND AGREE THAT IF I EXPERIENCE ANY OF THESE ISSUES WITH MY LASHES I WILL CONTACT MY TECHNICIAN AND HAVE THE EYELASH EXTENSIONS REMOVED IMMEDIATELY AND CONSULT A PHYSICIAN AT MY OWN EXPENSE.
I UNDERSTAND THAT EVEN THOUGH MICKAELA MORONTA MAY APPLY AND REMOVE THE EYELASH EXTENSIONS PROPERLY, THAT ADHESIVE MATERIAL MAY BECOME DISLODGED DURING OR AFTER THE PROCEDURE, WHICH MAY IRRITATE MY EYES OR REQUIRE FURTHER FOLLOW UP CARE.
I UNDERSTAND AND AGREE TO FOLLOW THE AFTERCARE INSTRUCTIONS PROVIDED BY MICKAELA MORONTA. FAILURE TO FOLLOW THE AFTERCARE INSTRUCTIONS MAY CAUSE THE EYELASH EXTENSIONS TO FALL OUT.
I UNDERSTAND THAT IN ORDER TO HAVE THE EYELASH EXTENSIONS APPLIED TO MY EYELASHES I WILL NEED TO KEEP MY EYES CLOSED FOR DURATION OF 60-180 MINUTES DURING THE PROCEDURE. I ALSO UNDERSTAND THAT I WILL NEED TO BE LYING IN A RECLINED POSITION. ANY MEDICAL CONDITIONS THAT MIGHT BE AGGRAVATED BY LYING STILL FOR A PROLONGED PERIOD OF TIME MAY MEAN THAT I WILL NOT BE ABLE TO HAVE THE PROCEDURE PERFORMED ON MY EYES.
I GIVE MICKAELA MORONTA PERMISSION TO POST/SHARE BEFORE & AFTER PHOTOS OF MY EYELASH EXTENSIONS TO OTHER POTENTIAL CLIENTS AND SOCIAL MEDIA FOLLOWERS.
THIS AGREEMENT WILL REMAIN IN EFFECT FOR THIS PROCEDURE AND ALL FUTURE PROCEDURES CONDUCTED BY MY MICKAELA MORONTA . I UNDERSTAND THAT THIS AGREEMENT IS BINDING AND THAT I HAVE READ AND FULLY UNDERSTAND ALL INFORMATION ABOVE.
I RELEASE MY TECHNICIAN MICKAELA MORONTA FROM ALL LIABILITY ASSOSIATED WITH THIS PROCEDURE. THERE ARE NO GUARANTEES FOR THE BONDING TIME LENGTH OF THE EYELASH EXTENSIONS. MICKAELA MORONTA IS NOT RESPONSIBLE FOR ANY TECHNICIAN ERRORS. I UNDERSTAND THAT I HAVE BEEN ADVISED TO FOLLOW THE AFTERCARE PROTOCOL FROM MY TECHNICIAN SO AS TO AVOID ANY DISCOMFORT OR ADVERSE SIDE EFFECTS AFTER THE PROCEDURE HAS BEEN COMPLETED.
Name
First Name
Last Name
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
Submit
Submit
Should be Empty: