Muse Salon Lash Consent Form

Full Name*

First name Last name

Cell Phone Number*

Email*

example@example.com

I grant permission for Muse Salon De Beauté, LLC to use my before and after photos for marketing*

YesNo

Is this your first time having Eye-lash Extensions?*

YesNo

Do you wear Contacts?*

YesNo

You will be on your back for 2-3 hours depending on the service, will you need special accommodations? (Times will vary based on service)*

YesNo

How do you usually sleep? Please note, you will lose more eyelash extensions on the side on which you sleep. Sleeping on your stomach will affect them the most.*

SideStomachBack

Are you allergic to adhesives (glues, tapes, band aids, etc)?*

YesNo

I release Muse Salon De Beauté , LLC from any and all liability associated with this procedure. This service will be performed with the utmost attention to safety, sanitation, and proper application using tools and products that the technician has been trained and certified to use. This service has many variables due to lifestyle, moisture, weather, extreme temperatures, natural eyelash shedding and aftercare. *

Initial

Eyelash extensions require on-going maintenance (similar to a nail service). Refills are recommended approximately every 2 to 3 weeks. I understand if I go beyond this time frame and or have less than 50% of my lashes at fill time I will be charged for a full-set.*

Initial

I agree to follow all aftercare procedures as advised by my lash artist and I am responsible for the proper aftercare of my lash extensions*

Initial

It is also recommended to avoid all oil-based products around your eyes for as long as you wear your lashes. Oil based products, waterproof mascaras and liners will loosen the adhesive and your lashes will not last long. Let's talk approved products during your appointment. Please come to your appointments with no eye-makeup and clean lashes. *

Please initial you read and understand the above.

I acknowledge Muse Salon De Beauté, LLC does their full effort to fulfill my appointments times and I respectfully acknowledge the times I schedule to be available. I understand the following set CANCELLATION policies that are also non-refundable agreements of service. Same day cancellations will be charged 50% of total service cost and deposit is non/refundable. If you are more than 10 minutes late you will be charged a $10 fee. If it is more than 30 minutes your appointment will be cancelled unless otherwise discussed with Calypso. *

I agree and understand that Muse Salon De Beauté, LLC & my Lash Technician have no way of knowing if the client is allergic to some of the products or materials being used in any eye-lash procedure, though we do use sensitive eye products to ensure comfort every client is different. All of my questions were answered and I understand the procedure and risks.*

Initial

I acknowledge and understand that I have 24 hours to communicate any concerns with the application and or retention. My eyelash technician will do their ultimate BEST to provide a service experience to meet your satisfaction and expectations to LOVE your lashes every appointment. *

Initial

Thank you for giving me the time to get to know YOU and signing the Consent form, it will help maximize your lash experience!*

By signing below, I verify that I have read and understand the above statements and agree to have answered all questions honestly to my knowledge.

Client signature *

Sign date *

Date

Muse Salon Eyelash Extension Consent Form