Eyelash Lift and Tint Form

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

I am informing my technician of any of the following contraindicated conditions for the lash lift.

I am informing my technician of any of the following contraindicated conditions for the brow lamination.

I consent to having my eyes closed and covered for the duration of the 45-90 minute procedure.

I wear contacts

I, undersigned, accept the following statements:

I agree to the following Post- Lash Lift:

Acknowledgement and Waiver

I am over 18 years of age and consent to the agreement and to treatment or have a parent with me that consents to this service. This agreement will remain in effect for this procedure and all future procedures conducted by my technician. I read English and understand that this consent agreement is legal and binding. I have read and fully understand all information in this agreement. I release my technician from all liability associated with this procedure, which is performed with the utmost attention to safety and proper application using tools and products that the technician has been professionally trained to use. There are no guarantees for length of time the lashes will stay permed. I understand the aftercare instructions and will do my part to maintain my eyelashes. I understand that there are many factors that may affect the life of the eyelash lift such as water and moisture contact, weather conditions, and activities involving exposure to high temperatures. By signing below, I verify that I have read and understand the above statements and agree to them.

No Refund Policy
Serene Skin by Wansada is committed to providing high-quality esthetic services and a positive experience for every client.

All payments for esthetic services are non-refundable once the service has been performed. Payments are for the professional time, products, supplies, and services provided and are not a guarantee of a specific cosmetic result.

Esthetic treatments are not an exact science, and individual results may vary depending on skin type, condition, sensitivity, lifestyle, and other individual factors. Results cannot be guaranteed, and achieving desired results may require multiple treatments or changes to a recommended skincare routine.

By booking and receiving services, the client acknowledges and agrees that:

Services are provided for cosmetic and esthetic purposes only.
Results may vary from person to person and cannot be guaranteed.
Payments are non-refundable after services have been performed.
Serene Skin by Wansada is not responsible for results that differ from the client's expectations when the service has been performed as agreed.
Any concerns regarding a service should be communicated promptly so that they can be reviewed and addressed appropriately.
We value your trust and will always make every reasonable effort to provide safe, professional, and personalized care.

Thank you for choosing Serene Skin by Wansada.

Date

Signature