• Eyelash Extensions Agreement

    Consent Form
  • Please answer the following questions:

  • PLEASE READ THE FOLLOWING INFORMATION THOROUGHLY!

  • Application Method and Procedure:

    Each eyelash extension will be placed individually onto your natural eyelash with medical grade adhesive that has been approved for the application of eyelash extensions. The clients eyes will need to be closed for the entire duration of the application process. Failing to do so may cause temporary discomfort and/or irritation. 

    No guarantees can be made pertaining to the longevity of each clients lash extensions. Duration of eyelash extensions will vary from client to client and is a direct result of proper care, maintenance, and personal lash cycle. Each client has her own lash pattern as well as lash cycle, which will affect the desired outcome. Please keep in mind that your natural eyelash can only be enhanced with eyelash extensions, they cannot be multiplied. 

  • Client Waiver and Release Agreement

    
I authorize Lash Gallery to provide and apply semi-permanent eyelash extensions. In order to minimize risk of eye injury, I understand that it is my responsibility to lie completely still for the entire eyelash extension procedure or until otherwise directed by the lash tech. I have been informed regarding the methods and procedures used in the application of eyelash extensions. All ricks and potential complications, including but not limited to redness, irritation, and allergic reactions to either the adhesive and/or eye pads used in the procedure, have been fully disclosed to me. I certify that I understand these risks and potential complications, and that I knowingly and voluntarily consent to the application of semi-permanent eyelash extensions.

    If at any time I feel uncomfortable during the lash procedure, I agree to immediately notify my lash tech. The lash tech will seek to remedy the problem, including ending the session if it is deemed prudent by the lash tech. I acknowledge that no guarantees or promises regarding the appearance or longevity of the lash extensions have been made.

  • Client Information Form

  • During the first 24-48 hours:

    Do not get your eyelash extensions wet for the first 24-48 hours after the application.

    Do not expose your eyelash extensions to STEAM from showers, saunas, facials, hot yoga, swimming pools or spas, and avoid tanning beds AND spray tans for 48 hours after application.

    (OPTIONAL) Apply protective sealant to lashes twice a week if your lash tech has decided it to be beneficial to you specifically.

    Follow these care instructions to receive the best possible results from your eyelash extensions:

    Do not use oil based skincare, mascara, and cleansing products. ONLY water based and oil-free products are approved for use.  Oil based products, including oil based eyeliner, will affect the adhesion and cause the lashes to fall out prematurely. Oil based and waterproof mascara should be avoided ENTIRELY to avoid damage to natural lashes as well as eyelash extensions. 

    Do not touch lashes frequently.  Keeping your fingers off your extensions will keep them clean and free of natural oils.

    Brush your eyelash extensions.  Brushing your eyelash extensions with a clean lash brush given to you will keep your lashes tangle free and looking their best. This will also encourage loose lashes to shed as needed. 

    NO EYELASH CURLER.  You will not need to curl your eyelash extensions. Doing so can cause breakage and pull natural eyelashes from the root, potentially causing damage. 

    Use only powdered or liquid eyeliner.

    Inform your other service providers that you have eyelash extensions when getting facials, spray tans, massages, etc. 

  • The natural lash cycle is sixty to ninety days. When ones natural eyelash falls out, it is replaced with another eyelash growing in. I, therefore, understand that I will need regular touch ups (every 2-3 weeks) in order to maintain my eyelash extensions to their fullest potential. I understand that variables, including but not limited to, the natural lash cycle and customer care, will influence the longevity of my eyelash extensions. 

    An appointment after 3 weeks will be considered a new full set, not a fill. I also understand that I would need to schedule an appointment in advance.

  • BY SIGNING THIS CUSTOMER WAIVER AND RELEASE AGREEMENT, I THE CLIENT NAMED ABOVE CERTIFY THAT I KNOWINGLY AND VOLUNTARILY RELEASE LASH GALLERY AND ITS DIRECTORS, OFFICERS, OWNERS, EMPLOYEES, AGENTS, AND REPRESENTATIVES FROM ANY AND ALL CLAIMS FOR DAMAGES FOR PERSONAL INJURY ARISING FROM THE APPLICATION AND USE OF SEMI-PERMANENT EYELASH EXTENSIONS, INCLUDING ANY DAMAGES RELATING TO KNOWN OR UNKNOWN COMPLICATIONS WHICH MAY ARISE DURING OR FOLLOWING THE APPLICATION PROCESS INCLUDING BUT NOT LIMITED TO CLAIMS FOR NEGLIGENCE. I FURTHER RELEASE AND HOLD HARMLESS LASH GALLERY FROM ANY CLAIMS RELATING TO PRE-EXISTING CONDITIONS I HAVE NOT REVEALED OR CHANGES TO THOSE CONDITIONS SUBSEQUENT TO THE PROCEDURE.

    I AGREE THAT ANY DISPUTES BETWEEN LASH GALLERY SHALL BE SETTLED BY ARBITRATION AND ADMINISTERED BY THE AMERICAN ARBITRATION ASSOCIATION IN ACCORDANCE WITH ITS COMMERCIAL ARBITRATION RULES, AND JUDGEMENT ON THE AWARD RENDERED BY THE ARBITRATOR(S) MAY BE ENTERED IN ANY COURT HAVING JURISDICTION THEREOF THE PREVAILING. 

    PARTY SHALL BE ENTITLED TO REASONABLE ATTORNEY FEES AND ARBITRATION COSTS INCURRED IN CONNECTION WITH ENFORCING THIS AGREEMENT/WAIVER. 

  • Please use your finger or mouse to sign your name below certifying that you have read and fully understand the Customer Waiver and Release agreement.

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