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 listed below.
I understand that in rare occasions there are risks associated with having artificial eyelashes and eyelash extensions applied to orremoved from my natural eyelashes. I further understand that in rare cases as part of the procedure or after application eye or skin irritationand discomfort may occur. I agree that if I experience any of these conditions with my lashes that I will contact the certified eyelash extensionprofessional that performed this procedure and that it may be necessary to have the eyelash extensions removed.
I understand and agree to the after-care instructions provided by the certified eyelash extension professional for the use and care ofmy eyelash extensions. I understand that if I request application of eyelash extensions beyond the recommended application advice of thecertified eyelash extension professional I do so at my own risk. I realize and accept the consequences of failure to adhere to these instructionsmay cause damage to my own natural lashes and cause the eyelash extensions to fall out and/or decrease the time the eyelash extensionswill last.
I understand and consent to having my eyes closed and covered for the duration of the application which can be approximately 60-120 minutes. 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:
Please list any other medical conditions, if applicable, which would prohibit or compromise placement and retention ofeyelash extensions
If you’ve checked any of the above, please list here:
This agreement will remain in effect for this procedure and all future follow-ups conducted by the certified eyelash extension professionallisted below. I read English and understand that this consent agreement is legal and binding. I have read and fully understand all informationin this agreement. I am over 18 years of age and consent to this agreement and to the eyelash extension application procedure.
Clients Full Name:
Leave this empty:
Signed by Jameelah Lloyd
Signed On: October 13, 2018
If you have questions about the contents of this document, you can email the document owner.
Document Name: Eyelash Extension Consent Form
Agree & Sign