Eyelashes consent form. Skinra beauty studio

Full Name

Name Last name

Instagram Handle

example: @plumelashed

Date of Birth

Date

Cell phone number

Format: (000) 000-0000.

Email

example@example.com

Lash Service Policies! Please read if you haven't yet.

Deposits:
- All deposits sent through Zelle or Venmo must be labeled as “Starbucks,” “Shopping,” “Gift,” or similar. Do not use terms related to lashes or lash appointments. Deposits are required to finalize your appointment. No deposit means no service.

Payment:
- Remaining balances must be paid in cash only. If you choose to pay the remaining balance via Zelle or Venmo, a $10 convenience fee will be added. Accepted payment methods are listed on my booking website and highlights.

Squeeze-Ins and After-Hour Appointments:
- These appointments require a non-refundable deposit of 50% of the total service cost and include a $20 fee.

Cancellations and Reschedules:
- Please cancel or reschedule at least 24 hours in advance. Late cancellations will result in the loss of your deposit.

Running Late:
- If you are running late, please notify me as soon as possible. You will still be accommodated, but only for the remaining time of your scheduled appointment. If you are unhappy with the results due to reduced appointment time, no adjustments can be made. Please arrive on time, reschedule, or book a mini fill for a full service.

Fills and Full Sets:
- Fills are for clients returning within 2 to 3 weeks with at least 40% of their lashes remaining after removing outgrown lashes. After this period, a full set is required. Foreign fills are accepted only if the previous lash work is clean and suitable to build on; otherwise, removal plus a full set will be necessary.

Touch-Ups and Refunds:
- You have 24 hours after your appointment to request a free touch-up if you are dissatisfied. Requests made after 24 hours will require payment. All services are non-refundable.

Appointment Guidelines:
- All appointments are home-based. Please attend alone; no children, friends, or pets are allowed. If you have had recent eye infections, irritation, or procedures, please reschedule to ensure your safety.

Quality of Service:
- I prioritize quality and do not rush any appointment. If you have had previous lash work, including clusters or strip lashes, please inform me as proper removal may require additional time.

I acknowledge that I have read, understood, and agreed to all Plumelashed policies. I understand that any violation may result in cancellation of appointments, refusal of future services, or additional fees as deemed appropriate by the business.

Please Initial here to indicate your understanding

Is this your first time having Eyelash Extensions?

Do you often rub, pull or pick your lashes for any reason? This can result in brittle lashes, and fallout.

Are you pregnant?

Do you have oily skin

Medical History: Please check if any of the following apply to you.

By checking each box below, I confirm that I understand and agree to the following eyelash extension aftercare and maintenance guidelines.

I understand that eyelash extensions involve the application of synthetic lashes to my natural eyelashes using a medical-grade adhesive.

I have been informed of possible risks including irritation, allergic reactions, or eye injury.

I understand that results may vary and lash retention depends on my natural lash cycle, maintenance, and lifestyle.

I agree to follow the aftercare instructions provided to me.

I give consent to have before/after photos taken for documentation or marketing purposes (no names will be used unless I give permission).

I release the lash technician (Elyse Lagari) from liability for any harm or adverse reaction that may occur as a result of this procedure.

I acknowledge that services at Plumelashed are based on the time, effort, and skill of my lash technician, and I agree to the no-refund policy.

I confirm that I have discussed the eyelash extension procedure with my technician at Plumelashed, including the process, benefits, and potential risks. I voluntarily agree to receive eyelash extensions and give full permission for my technician to perform the service.I understand that my lash technician is trained and certified in eyelash application and will take all necessary precautions to ensure my safety and comfort. I acknowledge that this procedure involves bonding synthetic lashes to my natural lashes using professional-grade adhesive, which may carry the risk of eye irritation, allergic reaction, or sensitivity. I accept that lash retention varies depending on my natural lash cycle, aftercare, skin type, and sleeping habits.It is my responsibility to inform my technician of any known allergies, medical conditions, sensitivities, medications, or use of products that could impact the results of this service. I also understand that I am responsible for following all pre-care and aftercare instructions provided to ensure the best possible outcome.I acknowledge that Plumelashed has a strict no-refund policy, and by proceeding with the appointment, I am paying for my technician’s time, expertise, and use of product—regardless of the final result.I consent to before and after photos being taken for documentation, marketing, or promotional purposes. I understand that my identity will not be revealed without my written permission.By signing this form, I release and hold harmless Plumelashed and my lash technician from any liability, claims, damages, or expenses that may result from this service, except in the case of gross negligence. I agree that this form serves as full disclosure, replaces any previous agreements, and confirms that I have read and understood all information above. I affirm that I have answered all questions honestly, including those related to allergies, medical conditions, and medications. I understand the procedure, accept the possible risks, and will not hold the technician liable for any condition that was not disclosed prior to treatment.

Client signature

Plumelashed Lash Extension Consent Form.