Lash Lift and/or 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 and tint.

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 minute procedure.

I wear contacts

I, undersigned, accept the following statements:

I agree to the following Post- 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 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 Lyndsey Nolan 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 Lyndsey Nolan has been professionally trained to use. There are no guarantees for length of time the lashes and/or brows will stay lifted. I understand the nature of the procedure and possible complications, reactions or adverse effects that may occur as a result of the applied solutions.

I have read and understand that contents of each paragraph above. I acknowledge that this is a contrat and that I have received no warranties or guarantees with respect to the benifits to be realized from, or consequences of, the aforementioned procedure(s). I further acknowledge that at the time of signing this consent to this procedure(s), I was of sound mind and capable of making independant decisions for myslef.

Lyndsey Nolan shall perform a lash liftand/or Brow lamination and tint application to the lashe and or brow hairs of the releaser. whereas releaser has been informed as to the methods and procedures concerning the result of such treatments, a patch test will also be performed prior to procedure, if requested by client, to detect any signs of alergies. I herby release, acuit and discharge Lyndsey Nolan and any and all persons which are or might be claimed to be liable to me from all claims and demands or whatever nature, actions and causes of action, damages, cost, loss of service, expenses and compensation on account or in any way growing out of personal induries and property damage to result at any time in the future, whether or not they are in contemplation of parties at present time and whether or not they arise following the execution of the release as the result of treatment procedure rendered. Releaser agrees to indemnify the hold harmless of Lyndsey Nolan for any loss, damage,

Date

Signature