Eyelash Extension Service Consent Form

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______I understand and consent to have my eyes closed and covered for the duration of the procedure. Times may vary depending on the type and number of eyelashes applied. 

 

______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 have removed contact lenses if I wear them. 

 

______I do not have any known latex or lash glue allergies. 

 

______I read English and understand that this consent agreement is legal and binding. I have read and fully understand all information in this agreement.  

 

______This agreement will remain in effect for this procedure and all follow-ups conducted by the certified eyelash extension professional.  

 

______I further understand that in rare cases as part of the procedure eye irritation and discomfort could occur. 

 

______I understand that on rare occasions there are risks associated with having artificial eyelashes and eyelash extensions applied to or removed from my natural eyelashes. 

 

______I release my certified eyelash extension professional from all liability associated with this procedure. There are no guarantees for the bonding time length of the eyelash extensions.

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By CLIENT

Name:____________________________

Signature:_________________________

Date:_____________________________