I First Name Last Name agree to have eyelash extensions applied to my natural eyelashes and /or removed and retouched. By signing this agreement, I consent to the placement and/or removal of eyelash extensions by the certified eyelash extension professional.
blanks I understand and consent to having my eyes closed and covered for the duration of approximately 90-180 minute procedure. Time may vary depending on the type and number of eyelashes applied.
blanksI hereby understand that I may encounter a reaction to lash extension/glue. I am aware of these precautions that were explained to me by my technician.
blanksI understand in rare occasions there are risk associated with having artificial eyelashes and eyelash extensions applied to or remove from my natural eyelashes. I further understand that in rare cases as apart of the procedure eye irritation and discomfort could occur. I agree that if I experience this procedure and it may be beneficial to have the eyelashes removed.
blanksI understand and agree to the after care instructions provided by the certified eyelash extension professional the use and care of my eyelash extensions. I realize and accept the consequences of failure to adhere to these instructions may cause the eyelash extensions to fall out and/or decrease the time the lashes will last.
I,______________________________________ agree to the following:
I agree to have my temperature taken and reschedule my appoint my appointment if my temperature exceeds the normal range of 96.8-99 degrees Fahrenheit.
I understand the above symptoms and affirm that I, as well as Household members. Do not currently have, nor have experienced symptoms listed above within the last 14 days.
I affirm that, as well as all household members. Have not traveled outside of the country, or to any known Covid-19 hot spot states in the last 30days.
I agree to wear a protective mask for the duration of my visit.
I understand my technician will not be liable for any exposure to the virus or any other contagion during my visit.
I understand well not be liable for any exposure to the virus or any other contagion during my visit.
I affirm my procedure is elective and in no way medically necessary. I chose to be here on my own free will.
My signature below indicates I agree to each of the above statements and release my technician and the business from any and all liability or the unintentional exposure to Covid-19 virus.
Your technician and all employees of this facility agree that abide by these same standards and affirm the same. we also affirm that we have improved and expended our sanitation protocols to more thoroughly prevent the spread of COVID-19 and other communicable conditions.
I hereby grant permission to the rights of my image, likeness, and sound of my voice as recorded in audio or videotape without payment or any other consideration. I understand that my image may be edited, copied, exhibited, published, or distributed. I waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or compensation arising or related to the use of my image or recording. I also understand that this material may be used in diverse educational settings within an unrestricted geographic area.
Photographic, audio, video recordings may be used for the following purpose;
By signing this release, I understand this permission signifies that photographic or video recordings of me may be electronically displayed via internet or in the public educational setting.
I will be consulted about the use of the photographs r video recordings for any purpose than those listed above.
There is no limited in the validity if thus release not is there any geographic limitation on where these materials may be distributed.
This release applies to photographic, audio, or video collected as part of the sessions listed on this document only.
By signing this form, I acknowledge that I have read and fully understand the above release and agree, I hereby release any and all claims against any person or organization utilizing this material for educational purposes.