Eyelash Extension

EYELASH EXTENSION CONSENT FORM

    I 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 the eyelash extensions
    by the certified eyelash extension professional.
    _______ I understand that in rare occasions there are risks associated with having artificial eyelashes and eyelash extensions
    applied to or removed from my natural eyelashes. I further understand that in rare cases as part of the procedure eye
    irritation and discomfort could occur. I agree that if I experience any of these conditions with my lashes that I will contact
    the certified eyelash extension professional that performed this procedure and it may be beneficial to have the eyelashes
    removed.
    _______ I understand and agree to the after-care instructions provided by the certified eyelash extension professional for
    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 understand and consent to having my eyes closed and covered for the duration of approximately 60-120 minute
    procedure. Times may vary depending on the type and number of eyelashes applied.
    _______ I am informing the certified eyelash extension professional of the following conditions by marking with a check:
    Current use of contact lenses which I may be asked to remove during the procedure
    Current use of anything such as oil-containing sunscreen or moisturizers around the eyes
    Current use of eye drops of any kind, prescription or over-the-counter




    _______ I agree to the following eyelash extension follow-up and maintenance instructions:






    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. I am over 18 years of age and consent to the agreement and to the
    eyelash extension application procedure.
    EYELASH EXTENSION CONSENT FORM

    CLIENT NAME:

    CLENT SIGNATURE:

    EMAIL:

    PHONE:

    DATE:

    TECH NAME:

    TECH SIGNATURE:

    EMAIL:

    PHONE:

    DATE: