INFORMED CONSENT FOR LASH LIFT
I am over the age of 18, am not under the influence of drugs or alcohol, am not pregnant or nursing and desire to receive the indicated Lash Enhancement Treatment.
» I agree and consent to have an eyelash lift/enhancement and/or eyelash tint applied to my natural lashes and/or retouched by Glam Body Sugaring Boutique LLC.
» I understand and agree to the care instrictions provided by the Glam Body Sugaring Boutique LLC professional for the treatment of lifting lashes and/or tinting lashes. I realize and accept the consequences of failure to adhere to these instructions may cause the lashes to not stay lifted. I agree to not wet my lashes for 48 hours.
» I understand that although Glam Body Sugaring Boutique LLC may enhance my lashes using proper technique, the instruments, shields, cleansers, eye gel pads, lift solutions, and color tints may irritate my eyes or require a physicians care at my own expense.
» I understand there are risks associated with having my eyelashes enhanced and/or tinted. I further understand that as part of the procedure, eye irritation, eye pain, eye itching, discomfort amd in rare cases eye infection or blurriness may occur. I agree that if i experience any of these conditions DURING or AFTER my procedure, I will contact Glam Body Sugaring Boutique LLC and consult a physician at my own expense. I release my technician and Glam Body Sugaring Boutique LLc from all liability associated with this procedure, which is performed with the utmost attention to care, safety and proper application using tools and products that the lash specialist has been professionally trained to use.
» There are a small number of individuals who may have an allergic reaction to tints, hair dyes and other chemical treatments. It is only in rare situations that the reaction can be severe. If you've ever gotten a rash from an allergic reaction to henna or to hair dye containing para-phenylenediamine(PPD), then you may also develop an allergic reaction to lash or brow dyes and should not use them. We offer a complimentary patch test service for all of our clients. Please request an additional patch test if you would like to check your sensitivity, which should be performed 48 hours PRIOR to your tinting experience. We thank you for your cooperation to ensure your comfort and safety.
» I request that my eyelashes and/or eyebrows be treated with Lash & Brow tinting and or Lash Lift Products. I also request and consent to this/these procedure(s) being carried out without undergoing a sensitivity patch test. The sensitivity test, which if conducted, may indictate my sensitivity/allergy to the product(s).
» This aggrement will remain in effect for the procedure and all future procedures conducted at Glam Body SUgaring Boutique LLC and its subsidiaries for ONE year from the date of this signed form. I understand it is my responsibilty to advise my lash specialist of any changes in the future that may affect my suitability for procedures to be undertaken any time in the intervening 12 months. I understand that this agreement is binding and that I have read and fully understand all information listed above. I represent that I am over the age of 18 years. If below 18 years of age a parent or guardian must also sign this form and accompany you to your appointment.
I understand that it is imperative that I remove all eye makeup prior to my appointment. If I do not remove all eye makeup at least one hour prior to my appointment, I may be asked to reschedule my appointment. Cancellation fees may apply.
I understand that I was notified that I cannot use an eyelash curler for one week prior to service.
I give Glam Body Sugaring Boutique LLC permission to perform my eyelash lift and/or eyelash tint and/or eyebrow tinting procedure.