Lash Extension Intake Form
  • Lash Extension Consent Form

  • Format: (000) 000-0000.
  • Although every precaution will be taken to ensure your safety and well being before, during and after your lash extension application, please be aware of the following information and possible risks.

    • I understand that some irritation, itching or burning may occur on the skin if the bonding agent comes into contact with fumes from adhesive.
    • I understand that this is a semi-permanent procedure, as my natural lashes will continue to grow and fall out normally, making touch-up or additional appointments necessary to maintain the original look achieved by replacing the lashes that have fallen out. Most clients require a "fill" appointment every 2-3 weeks.                     
    • I understand that any lash fill that exceeds 4 weeks will be considered a full set.
    • I understand that I will be laying down for a long period of time to accomidate professionals quality of work. 
    • I understand that while every attempt will be made to provide me with the length and fullness I have chosen, my final result may not be what I initially envisioned due to my eye shape, quantity of my lashes, etc.
    • I understand that it is imperative that I disclose all of the information requested in the Client Profile/Health History.
    • I have cited all conditions and circumstances regarding my health history, medications being taken, and any past reactions to products or medications.
    • I understand that additional conditions could occur or be discovered during the procedure which could affect my ability to tolerate the procedure.
    • I consent to “before and after” photographs for the purpose of documentation, potential advertising and promotional purposes.
  • 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 English 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 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 has been professionally trained to use. 

    I understnad that technicain is not reliable for any damnage to personal belonging due to any accidental situaions. ie. wax, adheavice, oil, etc. 

    I understand the aftercare instructions and will do my part to maintain my eyelashes. I understand that there are many factors that may affect the life of the eyelash extensions such as water and moisture contact, weather conditions, and activities involving exposure to high temperatures. 

    By signing below, I verify that I have read and understand the above statements and agree to them. 

    CANCELATION POLICY:

    • Cancelations within a 24-hour notice of the service, client will be charged 50% of the service scheduled.

    • Please, if client has any symptoms of coughing, sore throat, extreme runny nose, or fever, client MUST cancel 24 hours before client's appointment. If client does not give 24-hour notice of cancellation with any of these symptoms, client will be charged 100% of the service and reported as a "no show". If symptoms start after the 24-hour policy, please text LLB immediately and we will reschedule the appointment.

    • Clients that are more then 15min late will be charged the cancelation fee (50%) and asked to reschedule for quality of service.

    •ANY NO-SHOW clients will be charged 100% cost of service scheduled.

    • Second time "NO CALL NO SHOW" will no longer be able to book with LBB.

  • Pre and Post Care

    Your lash extensions are attached to your own individual eyelashes, and will shed as your natural
    lashes shed. Maintaining your lash extensions will require regular visits to attach new extensions
    (fill-in) to your own eyelashes as your eyelash growth cycle regenerates new lashes.
    With a few simple care instructions you will be on your way to enjoying your luscious long lashes.
    To increase the longevity of your lashes, it is advised to avoid moisture and touching as much
    as possible.
    Before your appointment
    • If you use waterproof mascara, avoid using it 2-3 days before your first appointment. The film it
    leaves on your lashes may prevent the extensions from adhering correctly.
    • Arrive to your appointment with dry, clean lashes and makeup-free eyes.
    • Remove contact lenses before your appointment.
    During the initial 24-48 hours after your appointment
    Do not get your lashes wet for 24 hours after the lash extensions are applied. It will affect the efficacy
    of the glue.
    • Avoid steam from showers, facials, saunas and swimming pools.
    • Avoid getting moisture around the eye area when washing face, showering etc.
    • Avoid tanning beds for 48 hours after application.
    • Avoid chemical peels, waxing or laser treatments around the eyes.
    General guidelines to extend the life of your lashes
    • Avoid using oil-based skincare and makeup products around the eye, including mascara and
    makeup remover.
    • Avoid waterproof mascara. If you can, it is better not to use any mascara at all. You may find
    you don’t even need it!
    • Avoid running water over your face. Moisture will break down the bond of the glue.
    • Avoid rubbing your eyes or lashes, especially when washing your face. It is recommended to
    clean around the eye area with a washcloth or cotton swab (Q-tip).
    • Avoid using an eyelash curler. One of the benefits of lash extensions is the ability to add curl to
    your lashes. If you would like more curl, please speak to your technician.
    • If you can, sleep on your back to avoid the risk of lashes rubbing against your pillow.
    • Gently brush your lashes with a mascara wand to groom them. The best time to do this is after
    showering, as they will be softer and less likely to damage.
    • Avoid pulling your lashes, and do not attempt to remove them yourself. If you would like them
    removed, please contact your technician.
    If you experience any pain, redness or irritation, contact your technician immediately.

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