Beauty Treatment Client Information and Consent Form Document-3

Lash Extensions

Client Information and Consent
I agree to have eyelash extensions applied to my natural lashes. Before my qualified service provider performs this service, I agree to complete this form truthfully and accept all aftercare requirements to protect my investment.on
Waiver of Liability- I understand the potential risks involved with getting professionally applied eyelash extensions. I understand that even with expert application and proper aftercare, there are risks involved with this service such as minor eye pain, discomfort, potential for allergic reactions and irritations.
Permission to use my photographs- I grant my full permission to take, publish and retouch any photographs of my eyes, eyelashes and face before and after my lashextension service for the purpose of advertising and creating educational material.I also grant permission to retouch any photographs of myself if deemed necessary by my service provider
Aftercare- I agree to accept all aftercare requirements provided below I understand that eyelash extensions require meticulous care I understand that it is not recommended to ever remove my eyelash extensions at home If I neglect to take care of my eyelash extensions it will be at my own risk and expense
No known Medical Conditions Informed Consent I have read and agreed to this intake form in its entirety and I have been properly advised of the potential harm or side effects that may be caused by a specific medical condition listed above I understand that the professional eyelash adhesive remover or chemicals used on me during the service can potentially irritate the skin eye or follicles I understand that in very rare cases I could be allergic to cyanoacrylate solvents tapes or synthetics that are present in lash adhesive
Do you consent to the financial commitment to maintain luxury eyelash extensions

Lash Extensions

Aftercare
Aftercare Requirements
- No picking or pulling your eyelashes
- Avoid sleeping on one side of your face-use a silk pillowcase to avoid pulling
- Wash your lashes everyday. The day you get them done, everyday in between and right before your next appointment to ensure great retention.
- No eyelash curlers
- No mascara overtop of your eyelash extensions
- Avoid saunas, pool chemicals or extreme heat 24 hours after application
If for some reason you are suffering poor retention, an irritation or have an issue with your eyelash extensions please contact me directly to resolve this issue immediately.
I agree to have read and accepted all of my service provider's policies including but not limited to no shows, rescheduling and cancellation and late fees. In the event of an emergency I will notify my service provider that I am unable to make my appointment time within 48 hours to avoid any fees.
I agree that this form is binding upon myself, my legal representatives and my assigns. I am over the age of 18 and if I am not over the age of 18, I have a parent or legal guardian to consent to this agreement. Their relationship to me isblanks . By their signature below they consent to this service under the terms listed above.
Name
Signature
Date

MonthDayYear
Date
Guardian's Name
Guardian's Signature
Should be Empty:

Lash Extensions

Lash Extensions

Lash Extensions