Eyelash Extensions Consent + Intake Form Logo
  • Eyelash Extensions Consent + Intake Form

  • Contact lenses must be removed prior to LED eyelash services.

  • Consent
    I understand and acknowledge the following:

    Rebooking and Cancellation Policy
    I understand that if I need to cancel or reschedule an existing appointment, I must do so at least 24 hours in advance.
    If I cancel with less than 2 hours' notice, I will be charged the full cost of the scheduled service.
    If I do not show up to my appointment, I will be charged 100% of the service cost and will be required to pay a 50% deposit before booking my next appointment.


    Purpose of Lash Extensions
    I understand that eyelash extensions are applied to enhance the length, thickness, and curl of natural eyelashes for cosmetic and aesthetic purposes.


    Service Description
    I understand that lash extension services involve the careful application of individual synthetic lashes to my natural eyelashes using either an air-curing or LED-curing adhesive.
    The procedure may take up to 150 minutes, depending on the desired style and number of lashes applied.
    I acknowledge that results will vary depending on the condition of my natural lashes and how well I follow aftercare instructions.


    Potential Risks and Side Effects
    I understand and accept that there are potential risks associated with eyelash extensions, including but not limited to:

    - Irritation or allergic reactions to adhesive or lash materials
    - Discomfort or sensitivity during or after the procedure
    - Damage to natural lashes, including breakage or premature shedding
    - Eye irritation or infection if proper hygiene is not maintained

    Maintenance and Aftercare
    I understand that proper aftercare is essential to maintaining the appearance and longevity of my lash extensions.
    I agree to follow the aftercare instructions provided, including:

    - Cleanse lashes once daily using a extension safe lash shampoo                               - Avoiding contact with water for the first 24–48 hours (air-curing adhesive only)
    - Not using oil-based products near the eyes
    - Avoiding rubbing, pulling, or sleeping on the lashes                                               - Scheduling lash fill appointments every 2–3 weeks to maintain fullness and prevent premature lash shedding

    Informed Consent
    I confirm that I have been provided with information about the lash extension procedure, including potential risks, side effects, and aftercare instructions.
    I have had the opportunity to ask questions and have received satisfactory answers.
    If I experience any discomfort, irritation, or symptoms following the procedure, I will seek appropriate medical attention and notify my lash technician.


    Medical History
    I have disclosed any relevant medical conditions, allergies, or medications that may affect my suitability for lash extensions.
    I understand it is my responsibility to update my technician with any changes to my health history or medications prior to each appointment.


    Release of Liability
    I release Club Bay, its owners, employees, and affiliates from any liability arising from the application of lash extensions, including but not limited to allergic reactions, injuries, or dissatisfaction with results.

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