WAIVER AND RELEASE FORM
I, {name}, hereby consent and authorize GT Lash And Brows to perform the semi-permanent eyelash extension procedure. I understand that this procedure involves adhering individual synthetic eyelashes to my natural lashes. I acknowledge that it is my responsibility to remain still and keep my eyes closed during the entire procedure unless otherwise directed by the technician.
I have been fully informed about the methods and procedures involved in the semi-permanent eyelash extension application. The known risks associated with this cosmetic procedure have been disclosed to me, including, but not limited to, eye redness, irritation, and allergic reactions to the adhesive, under-eye gel patches, or other products used during the procedure.
If at any time I feel uncomfortable, I will immediately inform the technician, who will address the issue or end the session if necessary. Similarly, if the technician feels uncomfortable continuing the procedure, they will discuss their concerns with me and may end the session if needed.
I understand that no guarantees or warranties regarding the outcome of the eyelash extension procedure have been made, and I consent to this procedure at my own risk. I have disclosed all relevant information on this form regarding my health, including my health conditions and any past reactions to products used. I acknowledge that new conditions may arise during or after the procedure that could affect my ability to tolerate the procedure.
By signing below, I release and discharge my certified eyelash extensions professional and GT Lash And Brows, including any affiliated professionals or corporations, from any claims or damages of any nature. I agree to cover any legal costs incurred to confirm or enforce this release. This release applies to any known or unknown damages that may arise in the future.
In the event of any litigation, I agree to resolve any disputes through the American Arbitration Association. If a decision is made in favor of one party, the prevailing party will be entitled to reasonable attorney fees and costs. I further agree to hold GT Lash And Brows and its trained professionals harmless for any pre-existing conditions not disclosed or any changes to those conditions after the procedure.
I understand that the longevity of my eyelash extensions requires proper maintenance, including daily cleaning as needed. I agree to avoid activities that may affect the extensions, such as excessive swimming, sauna, steam rooms, pulling on lashes, or using oil-based or waterproof makeup. I also understand that mechanical curlers should not be used while wearing eyelash extensions.
I, {name}, certify that I have read and fully understand the Waiver and Release Form, and that it has been explained to me. I acknowledge that I have consulted with a GT Lash And Brows trained professional and have read all relevant materials provided to me. I have completed the Lash Extensions Consultation Form to the best of my knowledge. I accept the explanation of potential risks and complications as described above. I further certify that I am of sound mind and fully capable of executing this waiver and release form on my own behalf. I acknowledge that there may be unforeseen risks that are not reasonably predictable at this time.
I, {name}, hereby grant GT Lash And Brows and its affiliates the absolute right and unrestricted permission to take, use, and display photographic images of my eyes, including “before and after” photographs, in any form of media (print, digital, electronic, broadcast, or otherwise) for art, advertising, marketing, publicity, news articles, archival purposes, or any other lawful use. I waive any right to royalties or other compensation related to the use of these photographs. I release and agree to hold harmless GT Lash And Brows and its affiliates from any liability associated with the taking or use of these images.
Consent & Agreement
This agreement will remain in effect for this procedure and all future follow-ups conducted by GT Lash And Brows and the certified eyelash extension professional.
By signing below, I consent to the application of eyelash extensions at GT Lash And Brows. I understand that there are potential risks involved, including irritation, allergic reactions, and damage to my natural lashes. I agree to follow aftercare instructions and understand that any issues related to my eyelash extensions must be addressed during the first 48 hours.
Please sign below to indicate your understanding and acceptance of the terms outlined in this Waiver & Release Form.