I agree to allow Lash Reveal to apply or remove eyelash extensions to or from my natural eyelashes. Before my technician can perform this procedure, I understand I must complete this agreement and provide my informed consent by signing and dating where indicated.
1. Waiver of Liability: I understand there are risks associated with having artificial eyelashes applied to and/or removed from my natural eyelashes, and that even with taking utmost of care in the application or removal of these products, there still exist risks associated with the procedure and product itself, which include without limitation, eye irritation, eye pain, discomfort, redness; eye watering, and in rare cases, eye itchiness, or allergic reaction.
As part of this procedure, I understand that a certain amount of eyelash adhesive material will be used to attach the artificial lashes to my natural lashes. I understand there is more than one technique for applying Eyelash Extensions and I will not attribute any liability to Lash Reveal as a result of this procedure or the use and care of these lashes. I also agree to indemnify and hold harmless Lash Reveal from any and all claims, actions, expenses, damages, and liabilities that may be asserted as a result of having this procedure done or the purchase of the service.
It has been represented to me that no guarantees, warranties, promises, commitments or other statements as to the results of this treatment have been made and I am consenting to this procedure at my own risk. All conditions must be revealed or disclosed to my technician regarding my health history, medications that have been or are being taken and any past reactions to products or medications taken.
2. Permission to Use Pictures: I hereby grant Lash Reveal the full rights to take, publish and reproduce photographs of my eyes and or eyelashes, before, during and after this procedure, for advertising, education, or other purposes. I further assign any copyright in these photos to Lash Reveal. I also grant consent to use my image and likeness as contained in these photos for any advertising or other purposes.
3. Care and Maintenance: I agree to follow the care and maintenance instructions provided by Lash Reveal for the use and care of my lashes, and if any follow up care is required due to my own mistake or negligence, or failure to follow these instructions, this will be at my own expense and risk. I understand that if I do any of the following, it may result in damage to my eyelash extensions or may cause my lashes to fall off prematurely.
Knowing this, I agree to follow these tips for best results: I will avoid oil based products as these will loosen the bond of my extensions. I will avoid getting my lashes wet within the first 24 hours after my application. For the first 48 hours after my application I understand it is best to avoid swimming, saunas, and steam rooms. If I experience any itching or irritation, I agree to contact my professional immediately to have the lash extensions removed. I agree to avoid using waterproof mascara and to not use an eyelash curler, perm, or tint my eyelash extensions. I agree not to pick, pull or rub my extensions. I understand that I should not attempt to remove my lash extensions on my own or with any product, but that the procedure requires that my lash extensions be professionally removed.
I acknowledge that I have completely read through the full list of FAQ and AFTERCARE on Lash Reveals website and that I am able to reference it at anytime before or after service as well.
4. No Known Medical Conditions / Informed Consent : I have read and completed the Client Intake Form in its entirety and in truth. I acknowledge that I have been advised of the potential harmful or negative side effects that the lash extension procedure or removal may cause to those who have specific medical or skin conditions. I understand that the adhesives and adhesive remover are a skin, eye and mucus membrane irritant and that in rare cases persons may be allergic or have hypersensitivity to synthetics, cyanoacrylate or formaldehyde which in small amount may be present in the adhesive. I understand that the procedure requires that I lay still for up to 4 hours or longer with my eyes shut, and that if I wear contacts, I must remove my contact lenses for the duration of the application or removal. I further state that I have no known medical condition that might be aggravated by the procedure or any medical condition that would prevent me from complying with or heeding to the professionals instructions or these warnings.
This agreement will remain in effect for this procedure, and all future eyelash extension procedures conducted by Lash Reveal.
I understand that results vary with everyone. Overall skin conditions and aftercare will ultimately affect the retention of the results.
Client can request that a patch test is performed ascertain potential allergic reaction. However, a patch test can not always guarantee or rule out possibility of an allergic reaction.
The patch test has been discussed with the client. By signing the client DOES NOT request a patch test.
**If a patch test is requested it will be completed on a seperate form**
Client holds Lash Reveal harmless and absolves all liability resulting from allergic reactions.
Lash Reveal utilizes sterilized and/ or disposable equipment to minimize the risk of infection or contamination.
I agree to inform Lash Reveal, of any medical changes or procedures done that may interfere with future services.
I agree that there are no refunds.
I agree that this agreement is binding upon me, and my heirs, I represent that I am over 18 years of age and that I have the right to enter this agreement, or if I am under 18 years of age, I have had my parent or legal guardian consent to this agreement, and his or hers relationship is as follows: