Lash Extension Consent Form
  • Lash Extension Consent Form

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  • Client Information

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  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Medical History & General Questions

  • TERMS AND CONDITIONS

  • By signing below, you agree to the following:
    I understand this agreement is binding and that I have read and fully understand all information listed above. I represent that I am over the age of 18 or if under the age of 18, I have a parent and/or guardian signature below and that he/she consents to this procedure under these terms. I have completed this form to the best of my ability and knowledge and agree to inquire about questions I may have before "The Permanent Makeup Studio" begins performing the procedure. I have been informed of and understand the contraindications to the requested treatments and agree that I do not have any condition(s) that would make the requested treatment unsuitable. I will inform the technician of any discomfort I may experience during the requested treatment to allow them to adjust accordingly. I agree to waive all liabilities toward the technician and "The Permanent Makeup Studio" for any injury or damages incurred due to any misrepresentation of my health history.

    I agree to the following eyelash extension follow-up and maintanance instructions

    • No waterproof mascars
    • No oil-based products around the eye area
    • No water can encounter the eye area for 24 hours after the application
    • No tinting or perming of eyelash extensions
    • No pulling or rubbing of the eyelash extensions
    • Should any kind of eye drops be necessary extra care should be talian to prevent moisture free encountering the lash extensions.

    This agreement will remain in effect for this procedure and all future follow-ups conducted by the certified eyelash extension professional. I understand that this consent agreement is legal and binding have read and fully understand all information in this agreement, I am over 18 years of age and consent to the agreement and to the eyelash extension application procedure.

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