Lash Lift / Brow Lamination

Lash Lift / Tint + Brow Lamination
Name
Are you 18 or older? Must be accompanied by a parent / guardian if under 18.*

YesNo
Date of Birth*

MonthDayYear
Date
Phone Number*
Email address*
example@example.com
How did you hear about Wax and Beauty?
Do you have any of the following conditions (check all that apply):

Cancer / ChemoBlepharoplastyAlopeciaPsoriasisSkin lesions near the eyeRecent eye infectionSensitive eyes / skin
Are being treated for an eye illness, eye injury or skin conditions? If yes, please describe.

YesNo
If yes, please describe
Do you currently have irritated, itchy or watery eyes?

YesNo
Are you allergic to perms, hair color or tape?

YesNo
List all other allergies
List medications and supplements including eye drops you take regularly
Are you currently pregnant?

YesNo
Have you ever had a lash lift or brow lamination, if yes, which one?

Lash LiftBrow LaminationNO
If yes, when was your last procedure
Have you ever had an adverse reaction to an eyelash tint, lift or brow lamination?

YesNo
If yes please describe
Have you had permanent eye or brow makeup done within the last 2 weeks?

Permanent brow makeupPermanent eyeliner makeupNoOther
If yes please describe
Additional concerns / comments you want me to know
Same day cancellation / rescheduling / No shows: We require at least 24 hours’ notice for any changes. Same-day cancellations, rescheduling or no-shows will result in a cancellation fee equivalent to 50% of total scheduled service AND must be paid before future bookings. After a second no-show, future booking privileges will be suspended unless a 100% non-refundable booking fee is paid in advance for the next appointment. This is non-refundable.

For more booking info and policy https://waxandbeauty.co/booking-info-%26-policy
Signature (I have read and understand booking info and policy regarding same day cancellation, rescheduling and no show)*

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Lash Lift/Tint + Brow Lamination Consent Form
THE EYELASH LIFT AND TINT, AND THE BROW LAMINATION PROCEDURES ARE PERFORMED WITH THE PROPER TECHNIQUE, PRODUCTS, AND INSTRUMENTS, AND WITH YOUR SAFETY IN MIND. HOWEVER, THERE STILL ARE SOME RISKS ASSOCIATED WITH THE PROCEDURE(S THIS CONSENT FORM IS INTENDED TO INFORM YOU OF
THE RISKS OF THE PROCEDURES AND TO OBTAIN YOUR INFORMED CONSENT FOR THE PROCEDURES
I understand that as part of the procedure(s), eye/skin irritation, redness, swelling, pain and discomfort can occur. And although rare, eye infection or allergic reaction can occur. I agree to seek medical attention at my own expense if I experience any of these conditions.

I agree that if the tint or perming agents comes into contact with my eye, my eye will be flushed with water and I will seek medical attention at my own expense immediately.

I understand that the procedure(s) can take up to 60 minutes. I agree to lie down with my eyes closed for the duration of the procedures

I agree to the aftercare procedures recommended by the technician. I understand not adhering to the aftercare procedures can impact the results of the lash lift/tint or brow lamination.

I understand that results of the procedure may vary based on my natural lashes and brows and my final result may not be what I initially envisioned.

I give the technician permission to photograph my lashes and/or brows for their own marketing and promotional purposes. I understand that the lash lift/tint procedure and brow lamination is semi-permanent, and will require a retouch and upkeep.

I completed the above form to the best of my knowledge and consent to the lash lift, brow lamination, and/or tint procedure. I have had the opportunity to ask any questions and have received satisfactory answers. I understand the risks and potential side effects associated with the procedure(s.

I understand that the results of the procedures are not guaranteed and may vary from person to person.

I am over the age of 18 and consent to the procedure(s / will not hold the technician, salon, or employees liable for any issues not disclosed at the time of my service or any adverse effects from the procedure(s This agreement remains in effect for this procedure and any follow-up appointments.
Client Signature*

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Lash Lift / Tint + Brow Lamination

Lash Lift/Tint + Brow Lamination Consent Form

THE RISKS OF THE PROCEDURES AND TO OBTAIN YOUR INFORMED CONSENT FOR THE PROCEDURES