I understand there are risks associated with having artificial eyelashes applied to and/or removed from my existing eyelashes, and that not with standing the 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, and, in rare cases, blindness even when applied in the usual manner.
As part of the removal procedure, I understand that a certain amount of chemical adhesive remover is applied to existing adhesives and a reaction occurs to dissolve the adhesive that results in the thinning of the remover. Even though the eyelash extension artist may apply or remove my eyelash extensions in the usual manner, I understand the liquid remover may seep into my eyes, which may irritate my eyes or require further follow-up care, at my own expense to prevent any damage to my eyes.
This agreement will remain in effect for this procedure and all future follow-ups conducted by the certified eyelash extension professional. I read English and understand that this consent agreement is legal and binding. I have read and fully understand all information in this agreement. And hereby release any and all persons representing this salon from all claims, demands, damages, actions and cause of action arising out of the performance of the service.
I have fully disclosed all conditions regarding my health history, medications and past reactions to products, treatments and medications.
I am over 18 years of age and consent to the agreement and to the eyelash extension application procedure.