Eyelash Extension Consent Form
  • Eyelash Extension Consent Form

    Thank you for choosing Classy Lash Babe! Please read each section carefully and sign. I can’t wait to lash you!
  • Format: (000) 000-0000.
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  • 1. Waiver of Liability: I understand that there are risks associated with having artificial eyelashes applied to and/or removed from my existing eyelashes, and that notwithstanding the utmost of care in the application or removal of these products, there still exists risks associated with the procedure and product itself, which include, without limitation, eye irritation, eye pain, discomfort, and in rare cases, blindness when improperly handled. As part of this procedure, I understand that a certain amount of eyelash adhesive material will be used to attach the artificial lashes to my existing eyelashes. Even though the professional may apply or remove my lashes properly, I understand adhesive material may become dislodged during or after the procedure, which may irritate my eyes or require further follow-up care, at my own expense to prevent damage to my eyes. I also agree that I will not attribute any liability to Professional as a result of this procedure or the use and care of these lashes. I also agree to defend, indemnify and hold harmless Professional from any and all claims, actions, expenses, damages and liabilities, including reasonable attorney’s fees which might be asserted against them as a result of my having this procedure performed. I understand that there are no refunds.

    2. Care & Maintenance: I agree to the follow the care and maintenance instructions provided by Professional for the use and care of my eyelash extensions and that if any follow up care is required due to my own mistake or negligence, or failure to follow these instructions, it will be at my own expense and risk. I understand that if I do any of the following, it may result in damage to my extensions or may cause my lashes to fall off prematurely. I will avoid using waterproof mascara on my eyelashes and to not use an eyelash curler, perm or tint my extensions. I have been advised that using mascara on a regular basis will shorten the length of time my extensions will remain in place. If I experience any itching or irritation, I agree to contact my Professional immediately to have the lash extensions removed. I agree to not pick, pull or rub my Extensions. I understand that I should not attempt to remove my lash extensions on my own or with any product, but that the procedure requires that my lash extensions be professionally removed.

    3. No Known Medical Conditions/Informed Consent: I have read and completed the consent form in its entirety and in truth. I acknowledge that I have been advised of the potential harmful or negative side effects (such as premature shedding of my eyelashes) that the lash extension procedure or removal may cause to those who have specific medical or skin conditions. I understand that the adhesives and adhesive remover are a skin, eye, and mucus membrane irritant and that in rare cases persons may be allergic or have hypersensitivity to synthetics. I understand that the procedure requires that I lay still for up to 2 hours or longer with my eyes shut, and that if I wear contacts, I must remove my contact lenses for the duration of the lash extension application or removal. I further state that I have no known medical condition that might be aggravated by the procedure or any medical condition that would prevent me from complying with or heeding to the Professional’s instructions or these warnings.

  • This agreement will remain in effect for this procedure and all future procedures conducted by Professional. 

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