Thank you for choosing Mia Lash for your eyelash extension services! Please read the following and acknowledge that you agree to the terms herein by signing in the space provided below:
I authorize a trained employee of Mia Lash to perform the semi-permanent eyelash extension procedure on me. I understand this procedure requires synthetic eyelashes to be adhered to my own natural lashes. I understand that it is my responsibility to be still during the application of the procedure and to keep my eyes closed during the entire process until otherwise advised. I have been fully informed as to the methods and procedures concerning the semi-permanent cosmetic procedure. I am aware of the risks of the cosmetic procedure. Some cases may result in complications such as transient eye redness and irritation and allergic reaction to the adhesive used to apply the lashes and / or to the medical tape or anti-wrinkle gel pads. If at any time I am (or the technician is) uncomfortable with the eyelash extension procedure, I will inform the technician and s/he will promptly rectify the problem, including ending the session if I (or the technician) wish. I have fully disclosed any pre-existing skin conditions to Mia Lash, which include the following:
Semi-permanent lash extensions usually last for approximately 3 to 4 weeks. Results on every individual vary depending on the individual’s lash growth and maintenance routine. It has been represented to me that no guarantees, warranties, promises, commitments or other statements as to the results of this treatment have been made, and I acknowledge that I have received no particular representations or guarantees, and I am consenting to the procedure at my own risk. I agree that, based on any conditions that I have disclosed above, Mia Lash may choose to decline to provide services to me for the own safety.
Additional conditions could occur or be discovered during the procedure, which could affect my ability to tolerate the procedure.
I, hereby, release, give up, acquit, and discharge all directors, officers, and employees of Mia Lash and or anyone affiliated with Mia Lash including any partnership, corporations, or company associated with said individuals from any claims or damages of any nature in connection with the services provided. I agree to pay any costs of legal services necessary to further effect or confirm said release. I further agree that this release shall be in contemplation of any possible damages, either known or unknown at the time of signing of this waiver and release form, and said damages are specifically waived following the signing of this waiver and release form. I further agree that in the event any litigation ensues, it shall be placed before the Arbitration Associates of British Columbia for resolution. I agree that in the event a decision is determined in favor of one party of the other, the prevailing party shall be entitled to reasonable attorney fees and costs as set by the arbitrator.
I certify that I have read and it has been explained to me and I fully understand the above waiver and release form. I accept the explanation of potential complications and risks described herein. I certify I am of sound mind, and I am fully capable of executing this waiver and release form for myself. I, the undersigned client, acknowledge and fully understand that there might be other unknown risks not reasonably foreseeable at this time. I, the client herein signed, for the purposes of documentation, hereby consent to “before and after” photographs, which may or may not be used for the purposes of advertising.
I acknowledge and agree to the following Mia Lash's Official Policies:
(1) Payment in full is due at time of service. Mia Lash, accepts Cash only. We are unable to accept cheques.
(2) Please understand that your appointment is reserved solely for you and we conduct business by appointment only. If for any reason you need to reschedule your appointment, please do so at least 24 hours in advance of your appointment. Cancellations with less than 24 hours- notice or no shows will be charged $50 booking fee for your scheduled service. Late arrivals will be serviced for the remainder of your allotted appointment time, if time permits at the discretion of Mia Lash's staff. The full service fee for your service will still apply.
(3) The technician you have booked will provide your services. However, in case of extenuating circumstances where the technician is unavailable, we will provide an alternate qualified technician to provide your services. If you decide to cancel your appointment with the new technician on less than 24 hours-notice, the $50 booking fee for your scheduled service will still apply.
(4) Gratuities are greatly appreciated, but never required. Customary gratuities in the beauty services industry are 18+% of the pre-discounted service price. If for any reason you are unsatisfied with your service, please call or email us within 24 hours of your service so that we can promptly rectify the situation. Your happiness with our service is our highest priority.
** (5) Our refund and exchange policies:
Services: Although we do not offer refunds on our services or gift certificates, we will do everything we can to achieve your satisfaction, provided you inform us within 48 hours of the service in question and come in for an assessment and adjustment within 5 days of the service in question.
Products: All products must be returned or exchanged within 7 days of purchase with a receipt. Products must be unused and in their original packaging.
COVID-19 Update
Due to the 2019-2020 outbreak of the novel Coronavirus, COVID-19, we are taking extra precautions with the intake of each client, health history review, as well as sanitation and disinfecting practices. Please complete the following and sign below.
I, hereby, confirm that I am not presenting any of the following symptoms of COVID-19 listed below: Fever, Shortness of breath, loss of taste or smell, dry cough, runny nose, sore throat
I agree to the following:
● I understand the above symptoms and affirm that I, as well as household members, do not currently have, nor have experienced the symptoms listed above within the 14 days.
● I affirm that I, as well as household members, have not been diagnosed with COVID-19 within the last 30 days.
● I understand the COVID-19 virus has a long incubation period during which carriers of the virus may not show symptoms & still be highly contagious.
● I understand that due to the frequency of visits of other clients, the characteristics of the virus, and the characteristics of these services that I have an elevated risk of contracting the virus simply by being in the establishment.
To prevent the spread of the contagious virus and to help protect each other, I
understand that I must follow the establishment’s guidelines:
● Reschedule appointment if you are feeling unwell
● No additional guest is allowed
● Wearing a mask is required upon arrival and during the entire procedure
● Wash hands upon arrival
● Limit conversation during the procedure
I, knowingly and willingly consent to have eyelash extension service during the pandemic and will not hold Mia Lash or anyone working for this establishment, liable for the possibility of contacting COVID-19.