Consent/ Waiver Form

I agree to have eyelash extensions applied to my natural eyelashes and/or removed and retouched. By signing this agreement, I consent to the placement and/or removal of eyelash extensions by a certified eyelash extension specialist, Jade White . I understand there are risks associated with having artificial eyelashes applied to and/or removed from my existing eyelashes, and that not withstanding the utmost of care in the application or removal of these products, there still exist risks associated with the procedure and product itself, which include, without limitation, eye irritation, eye pain, discomfort, and, in rare cases, blindness even when applied in the usual manner. As part of the removal procedure, I understand that a certain amount of chemical adhesive remover is applied to existing adhesives and a reaction occurs to dissolve the adhesive that results in the thinning of the remover. Even though the eyelash extension technician may apply or remove my eyelash extensions in the usual manner, I understand the liquid remover may seep into my eyes, which may irritate my eyes or require further follow-up care, at my own expense to prevent damage to my eyes. I understand and agree too the after-care instructions provided by the certified eyelash extension professionals for the use and care of my eyelash extensions. I understand that if I request application of eyelash extensions beyond the recommended application advice of the certified eyelash extension professional I do so at my own risk. I realise and accept the consequences of failure to adhere to these instructions may cause damage to my own natural lashes and cause the eyelash extensions to fall out and/or decrease the time the eyelash extensions will last. I understand and consent to having my eyes closed and covered for the duration of the application, which can be up to approximately 60-120 minutes. Times may vary depending on the type and number of eyelashes applied. I agree to lie still for the entirety of the procedure for safety reasons. If I feel uncomfortable at all during the procedure, I will notify my eyelash technician immediately. I understand that if I have mentioned to having any previous reactions and/or complications or anything that my eyelash technician sees as being a possible risk, I may be requested to have a patch test 24 hours before the full application to ensure I will not have any further risks with this application or any further applications from my technician/salon. I understand that because of the natural eyelash cycle and wear and tear, I will need to maintain my extensions with refill appointments recommended every 2-3 weeks. Anything 4 weeks onwards will be considered a full set. I understand that my eyelash extension technician will give me a recommendation of how often my appointments should be and if I choose to not follow recommended appointments, my eyelashes may not be at the quality I’m expecting.