Lash Extension Client Release- Routine Beauty 2022

Your Photo Release
-I hereby grant Routine Beauty permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.

-I understand and agree that all photos will become the property of Routine Beauty and will not be returned.

-I hereby irrevocably authorize Routine Beauty to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo.

-I hereby hold harmless, release, and forever discharge Routine Beauty from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

I HAVE READ AND UNDERSTAND THE ABOVE PHOTO RELEASE. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR, IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENTS/GUARDIANS AS EVIDENCED BY THEIR SIGNATURES BELOW.
I ACCEPT

YESNO
Signature:*

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Your Agreement & Consent
Please read the following statements and initial next to them. Your initials confirm you have read, agree to and understand the information and policies outlined.
I agree and consent to have a lash/brow lift treatment applied to my natural eyelashes/brows and/or reversed by the and certified lash artist.*
INITIALS
I understand that there are risks associated with having this treatment performed.*
INITIALS
I further understand that as part of the procedure, eye irritation, eye itching, and in rare cases, an eye injury or illness can occur.*
INITIALS
I understand that if I experience any of these conditions with my eye area, I will contact the certified lash IMMEDIATELY. The certified professional may offer a removal at no charge if that is the safest resolution, and I will consult with a physician at my own expense.*
INITIALS
I understand that even though the certified professional applies or removes the eyelashes using the proper technique; tapes, cleaners, eye pads, adhesives and removers used may irritate my eyes or require a physician's follow care at my own expense. *
INITIALS
I agree to the NO-SHOW POLICY stating every appointment requires a credit card on file to book and will be charged 50% of the service booked in the event of a no-show. *
INITIALS
I agree to the CARD ON FILE POLICY, if your card is unlinked from the booking system at any time prior to your appointment it will become a cancellation and rescheduling will not be possible until a credit card is placed on file. *
INITIALS
I agree to the LATE POLICY, appointments that are 15 minutes late or more will be cancelled and subject to a no-show fee of 50% of the price of the service booked. *
INITIALS
I agree to the REFUND POLICY, lash services are time and skill based, and materials used cannot be returned. For this reason there are no refunds on services. If you are unsatisfied with the look of your lashes you may reach out to your professional for options to improve your satisfaction.*
INITIALS
I understand and agree to the aftercare instructions provided by the professional. I am aware and accept the consequences of failure to adhere to these instructions, as it may cause: eye health issues and infections, damage to the natural hair, and/or decrease the time the service results will last. *
INITIALS
These aftercare instructions include:
DO:
- Keep the area completely dry for the first 24 hours
- Sleep flat on your back and avoid misshaping the lashes & brows
- Avoid extremely hot showers, saunas, and steam rooms
- Use black or clear mascara on your lash lift daily (never waterproof!!!)
DO NOT:
- Pick, pull or rub your lashes, eyes, and brows
- Wear false eyelashes
- Curl or trim your lashes
I release my technician or studio, Routine Beauty, from all liability associated with this procedure, which is performed with the utmost attention to safety and proper application, using tools and products the technician has been properly trained to use. There is no guarantee for the bonding time of eyelash extensions. I understand that there are many factors that may affect the life of the eyelash extensions, such as: proper aftercare, water, moisture contact, weather conditions and activities involving exposure to high temperatures.

This agreement will remain in effect for this procedure and all future procedures conducted by the certified lash extension professional. I understand this agreement is legal and binding.
Client Signature:*

Clear
Date:*

MonthDayYear

COVID 19 Screening and Info:
1. Have you had a fever in the last 24 hours of 100°F or above?*

NOYES
2. Do you now, or have you recently had, any respiratory or flu symptoms, sore throat, or shortness of breath?*

NOYES
3. Have you been in contact with anyone in the last 14 days who has been diagnosed with COVID-19 or has coronavirus type symptoms?*

NOYES
COVID-19 is a highly contagious virus that spreads from person to person. In addition to long-held and explicit sanitation measures this business has always adhered to, new preventative measures have been put in place to further reduce the spread of this novel coronavirus. However, these best practices still offer no guarantee regarding your potential risk of being infected.
Consent for Treatment
I understand that, because esthetics involves maintained touch and close physical proximity over an extended period of time, there may be an elevated risk of disease transmission, including COVID-19. By signing this form, I acknowledge that I am aware of the risks involved from receiving treatment at this time, I voluntarily agree to assume those risks, and I release and hold harmless the practitioner/business from any claims related thereto. I give my consent to receive treatment from this practitioner.
Client Signature:*

Clear
Date*

MonthDayYear
Thank you for taking time to complete this form in it's entirety!
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Routine Beauty

Your Personal Info

Your Skincare

Your Photo Release

Your Agreement & Consent

These aftercare instructions include:

DO:

DO NOT:

COVID 19 Screening and Info:

Consent for Treatment