PERMANENT MAKEUP SERVICES CONSENT FORM

I certify that I am 18 years of age or older and understand that microblading is a semi-permanent cosmetic procedure that carries potential risks, hazards, and complications. I acknowledge that:

Pain: There may be some discomfort, even after the application of topical anesthetics, which work more effectively for some individuals than others.
Infection: While infection is uncommon, I understand the importance of following aftercare guidelines to minimize this risk.
Uneven Pigmentation: Pigment may heal unevenly due to factors such as bleeding during the procedure, individual healing responses, or improper aftercare. These issues will be addressed at my follow-up appointment.
Asymmetry: While every effort is made to ensure symmetry, natural facial structures are not perfectly symmetrical. Any necessary adjustments can be made during the follow-up session.
Swelling, Redness, or Bruising: While bruising is rare, some individuals may experience swelling, which should subside within a few hours.
Bleeding: Minimal "pinpoint" bleeding is expected. Excessive bleeding may impact pigment retention and final results.
Anesthetics: I understand that if I have allergies to numbing agents, I must inform my technician immediately.
Alternative Option: I acknowledge that the alternative to microblading is to continue using traditional makeup to enhance my eyebrows.
Additionally, I understand that aftercare instructions have been explained to me, and I will receive a written copy, which I agree to follow to the best of my ability. If I have any concerns or questions, I will contact my technician via phone or email. I acknowledge that individuals with the herpes simplex virus may experience fever blisters after lip procedures and that it is my responsibility to obtain an antiviral prescription from my doctor to help prevent outbreaks. I understand that skincare products such as Retin-A, Renova, Alpha Hydroxy, and Glycolic Acids must not be used on treated areas as they may alter pigment retention. I am aware that sun exposure, tanning beds, swimming pools, medications, and certain skincare products can impact the longevity of my permanent makeup.

I acknowledge that perfect color saturation cannot be guaranteed due to possible hidden scar tissue. I will inform all skincare professionals and medical personnel about my permanent makeup procedure, especially if I undergo an MRI. I take full responsibility for communicating my desired color, shape, and position for this procedure. I understand that implanted pigment may fade or slightly change over time due to factors beyond my technician’s control and that I will need a touch-up session within 60 days for maintenance.

I have been informed of the cost of today’s procedure, which does not include the touch-up session. The touch-up will cost and I understand that all service fees are final, with no exchanges or refunds. I confirm that I have read and understood the contents of this consent form, have had the opportunity to ask questions, and authorize my permanent cosmetics technician to perform the microblading procedure on me.

 

EYELASH EXTENSIONS - LASH LIFT - LASH TINT - GENARAL BROW SERVICES PROCEDURE CONSENT 

CLIENT CONSENT AND WAIVER AGREEMENT

I have agreed to have eyelash extensions, a lash lift, or brow services applied to and/or removed from my eyelashes or facial hair. Before my qualified professional can perform this procedure, I understand I must complete this agreement and provide my informed consent by signing and dating where indicated below.

1. WAIVER OF LIABILITY
I understand there are risks associated with having artificial eyelashes applied to and/or removed from my existing eyelashes and that, notwithstanding the utmost care in the application or removal of these products, risks include but are not limited to:

• Eye irritation
• Eye pain
• Discomfort
• In rare cases, blindness
• As part of this procedure, I acknowledge that eyelash adhesive will be used to attach artificial lashes to my natural lashes. I understand that adhesive material may become dislodged during or after the procedure, potentially causing irritation or requiring follow-up care at my own expense. I acknowledge that there are various techniques for applying extensions and will not hold The Wink Lab LLC or its professionals liable for any resulting issues from this procedure. I further agree to indemnify and hold harmless The Wink Lab LLC and its professionals from any claims, actions, expenses, or liabilities arising from this procedure.

2. PERMISSION TO USE PICTURES
I grant The Wink Lab LLC and Alejandra Arango Uribe permission to take, publish, and reproduce photographs of me, my face, my eyes, and/or eyelashes before and after the procedure for advertising, education, or other purposes. I assign copyright of these images to Alejandra Arango Uribe and allow The Wink Lab LLC to use my image, likeness, and any provided comments.

3. CARE AND MAINTENANCE
I agree to follow the provided care and maintenance instructions, understanding that failure to do so may result in damage or premature shedding of my eyelash extensions or effects of a lash lift. Specifically, I agree to:

• Avoid oil-based eye products
• Avoid getting lashes wet within 48 hours of application
• Avoid swimming, saunas, or steam rooms for the first two days
• Contact The Wink Lab LLC if I experience itching or irritation
• Avoid waterproof mascara and refrain from using eyelash curlers, perms, or tints
• Not pick, pull, or rub my extensions or lash lift results
• Only have my extensions professionally removed
• I understand that if my lashes detach, fall out, or do not last due to improper care, The Wink Lab LLC is not liable and is not required to conduct a refill or redo free of charge.

4. NO KNOWN MEDICAL CONDITIONS / INFORMED CONSENT
I have truthfully completed The Wink Lab Client Intake Form. I understand the potential side effects of the procedure, including premature lash shedding. I acknowledge that the adhesive and remover may contain cyanoacrylate or formaldehyde, which could cause allergic reactions or irritation. I confirm that:

• I have no known medical condition that may be aggravated by the procedure
• I can remain still for up to two hours with my eyes closed
• If I wear contact lenses, I will remove them during the procedure
• In case of legal disputes, claims arising from this agreement will be resolved through binding arbitration in the State of Pennsylvania and Florida using the rules of the American Arbitration Association.

5. I agree to have eyebrow services, including but not limited to brow shaping, tinting, lamination, or waxing, performed on me by The Wink Lab LLC. By signing this agreement, I consent to the procedure to be performed by my technician.

I understand that there are risks associated with these brow services, including but not limited to irritation, allergic reactions, redness, swelling, discomfort, or in rare cases, infection. If I experience any of these conditions after the procedure, I agree to contact my technician and consult a physician at my own expense.

I understand that even though my technician performs the brow service using the proper technique, the instruments, wax, tints, adhesives, or other products used may irritate my skin or require a physician’s follow-up care.

I understand and agree to the aftercare instructions provided by my technician for the use and care of my eyebrows post-procedure. I realize and accept the consequences of failure to adhere to these instructions, which may cause the service to not last as long as expected.

I am over 18 years of age and consent to this agreement and 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 and The Wink Lab LLC 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. I understand that there are many factors that may affect the outcome of my brow service, such as skin type, hair growth, and adherence to aftercare instructions.

By signing below, I verify that I have read and understand the above statements and agree to them.

6. COVID-19 WAIVER
I acknowledge the contagious nature of COVID-19 and voluntarily seek services from The Wink Lab LLC and The Wink Lab LLC Florida, understanding the risk of exposure. I confirm:

• I am not experiencing symptoms of COVID-19
• I have not traveled internationally or to high-risk areas in the last 14 days
• I have not been exposed to a suspected or confirmed COVID-19 case
• I release The Wink Lab LLC from liability related to any COVID-19 exposure
  
  BROW AND LASH TINTING & LAMINATION RISKS
  I understand that tinting and lamination procedures carry potential risks, including:

 

• Irritation, stinging, or burning of the orbital eye area
• Accidental eye exposure requiring medical attention
• Temporary skin staining
• Variation in color absorption and fading over time
• Over-processing leading to dryness or hair breakage
• I acknowledge that re-tinting is required every 3-4 weeks for color maintenance.
  

  
  7. I agree to have an eyelash lift (perm) and/or eyelash tint applied to my natural eyelashes and/or retouched by The Wink Lab LLC. By signing this agreement, I consent to the procedure of an eyelash perm or eyelash tint by my technician.

  I understand there are risks associated with having an eyelash perm and/or eyelash tint. I further understand that as part of the procedure, eye irritation, eye pain, eye itching, discomfort, and in rare cases, eye infection or blurriness could occur. I agree that if I experience any of these medical conditions with my lashes, I will contact my technician and consult a physician at my own expense.

  I understand that even though my technician performs the lash lift using the proper technique, the instruments, tapes, cleaners, eye gel pads, adhesives, and removers used may irritate my eyes or require a physician’s follow-up care.

  I understand and agree to the care instructions provided by my technician for the use and care of my permed and/or tinted eyelashes. I realize and accept the consequences of failure to adhere to these instructions, which may cause the eyelashes to not stay permed as long as instructed.

  I agree that after the lash lift, no water can come in contact with the eye area for 24 hours after the application, and I will avoid using oil-containing sunscreens, moisturizers, and cleansers on my lashes.

  I am over 18 years of age and consent to this 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 and The Wink Lab LLC 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 the 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.

By signing below, I confirm that I have read and understood this agreement, and I voluntarily accept all risks associated with the procedure.

SMALL TATTOO (FINE LINE TATTOO) CONSENT FORM

In consideration of receiving a tattoo from The Wink Lab LLC, including its artists, associates, apprentices, agents, or any employees, I, hereby acknowledge that I have been fully informed of the inherent risks associated with getting a tattoo. I fully understand that these risks, known and unknown, can lead to injury including but not limited to: infection, scarring, difficulties in the detection of melanoma, and allergic reactions to tattoo pigment, latex gloves, and/or soap. Having been informed of the potential risks associated with getting a tattoo, I wish to proceed with the tattoo procedure and application and freely accept and expressly assume any and all risks that may arise from tattooing.

I WAIVE AND RELEASE to the fullest extent permitted by law any person of The Wink Lab LLC from all liability whatsoever, including but not limited to, any and all claims or causes of action that I, my estate, heirs, executors, or assigns may have for personal injury or otherwise, including any direct and/or consequential damages, which result or arise from the procedure and application of my tattoo, whether caused by the negligence or fault of The Wink Lab LLC, or otherwise.

The Wink Lab LLC has given me the full opportunity to ask any questions about the procedure and application of my tattoo, and all of my questions, if any, have been answered to my total satisfaction. The Wink Lab LLC has given me instructions on the care of my tattoo while it's healing. I understand and will follow them. I acknowledge that it is possible that the tattoo can become infected, particularly if I do not follow the instructions given to me. If any touch-up work to the tattoo is needed due to my own negligence, I agree that the work will be done at my own expense.

I am not under the influence of alcohol or drugs, and I am voluntarily submitting to be tattooed by The Wink Lab LLC without duress or coercion. I do not suffer from diabetes, epilepsy, hemophilia, heart condition(s), nor do I take blood-thinning medication. I do not have any other medical or skin condition that may interfere with the procedure, application, or healing of the tattoo. I am not the recipient of an organ or bone marrow transplant, or if I am, I have taken the prescribed preventive regimen of antibiotics that is required by my doctor in advance of any invasive procedure such as tattooing or piercing. I am not pregnant or nursing. I do not have a mental impairment that may affect my judgment in getting the tattoo.

The Wink Lab LLC is not responsible for the meaning or spelling of the symbol or text that I have provided to them or chosen from the flash (design) sheets. Variations in color and design may exist between the tattoo art I have selected and the actual tattoo when it is applied to my body. I also understand that over time, the colors and the clarity of my tattoo will fade due to unprotected exposure to the sun and the naturally occurring dispersion of pigment under the skin.

A tattoo is a permanent change to my appearance and can only be removed by laser or surgical means, which can be disfiguring and/or costly and which in all likelihood will not result in the restoration of my skin to its exact appearance before being tattooed.

I acknowledge that perfect color saturation cannot be guaranteed due to possible hidden scar tissue. I will inform all skincare professionals and medical personnel about my tattoo procedure, especially if I undergo an MRI. I take full responsibility for communicating my desired design, placement, and any specific details related to the procedure. I understand that implanted pigment may fade or slightly change over time due to factors beyond my technician’s control and that I may need a touch-up session within a certain timeframe for maintenance.

I release the right to any photographs taken of me and the tattoo and give consent in advance to their reproduction in print or electronic form. (For assurance, if you do not initial this provision, please inform The Wink Lab LLC NOT to take any pictures of you and your completed tattoo).

I agree that The Wink Lab LLC has a NO REFUND policy on tattoos, piercing, and/or retail sales, and I will not ask for a refund for any reason whatsoever. I agree to reimburse The Wink Lab LLC for any attorneys' fees and costs incurred in any legal action I bring against The Wink Lab LLC and in which either the artist of The Wink Lab LLC is the prevailing party. I agree that the courts located in the County of Chester, within the State of Pennsylvania, shall have jurisdiction and venue over me and shall have exclusive jurisdiction for the purposes of litigating any dispute arising out of or related to this agreement.

I acknowledge that I have been given adequate opportunity to read and understand this document, that it was not presented to me at the last minute, and grasp that I am signing a legal contract waiving certain rights to recover damages against The Wink Lab LLC. If any provision, section, subsection, clause, or phrase of this release is found to be unenforceable or invalid, that portion shall be severed from this contract. The remainder of this contract will then be construed as though the unenforceable portion had never been contained in this document.

I hereby declare that I am of legal age (and have provided valid proof of age and identification) and am competent to sign this Agreement. I HAVE READ THE AGREEMENT, I UNDERSTAND IT, AND I AGREE TO BE BOUND BY IT.

Fine Line Tattoo Aftercare Instructions
Keep the bandage on for 2-3 hours after your session. This protects your tattoo from bacteria and external irritants.
Gently wash your tattoo with lukewarm water and a mild, fragrance-free soap. Pat dry with a clean paper towel.
Apply a thin layer of recommended aftercare ointment or fragrance-free lotion to keep the tattoo moisturized.
Avoid soaking the tattoo in water (baths, pools, hot tubs) for at least 2 weeks.
Avoid direct sunlight and tanning beds. Once healed, always use sunscreen to prevent fading.
Do not scratch or pick at the tattoo as this can cause scarring and uneven healing.
Wear loose, breathable clothing to prevent irritation and allow the tattoo to heal properly.
Expect slight peeling and itching—this is normal. Continue applying moisturizer as needed.
Contact your artist if you notice excessive redness, swelling, or signs of infection.
Following these steps will help ensure your tattoo heals beautifully and maintains its fine line detail.

 

I agree that this Agreement is binding upon me, legal representatives and assignees. 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 her relationship to me is as follows:

By his or her signature below, he or she ratifies and consents to this procedure under these terms.

CLASS CANCELLATION POLICY

As we reserve a full day to provide you with our training services, we do not offer refunds for any of our training sessions. However, we do allow for the transfer of the reservation to another student or a future date.

Please note that you have up to six months to complete your certification.

It is your responsibility to schedule Class 2 and 3 to ensure you get your certification.