REWRITE FORM
Eyelashes Extensions (lumbertan)

CONSENT SERVICES FORM

Eyelashes Extensions


CLIENT INFORMATION


How long

Consent for eyelash procedure

I have agreed to have eyelash extensions applied to my natural eyelashes by lash extension specialists. Before my eyelash professional can perform this procedure, I understand I must complete this agreement and provide my informed consent by signing and dating where indicated below

Waiver of Liability. I understand there are risk associated with having artificial eyelash extensions applied to and/or removed from my natural eyelashes, and that notwithstanding the utmost of care in the application or removal of these products, there still exists risks associated with the procedure and products itself, which include, without limitation, eye irritation, eye irritation, eye pain, discomfort, and in rare case blindness when improperly handled. As part of this procedure, I understand that a certain amount of eyelash adhesive material will be used to attach artificial eyelashes to my natural eyelashes. Even though the eyelash extension professional may apply or remove the artificial eyelash properly. I understand adhesive material may become dislodged during or after the procedure, which may irritate eye or require follow up care, at my own expense to prevent damage to my eyes. I also agree to defend, indemnify and hold harmless to staffs and the company from any and all claims, actions, expenses, damages and liabilities, including reasonable attorneys’ fee which might be asserted against them as a result of my having this procedure performed.

Permission to use pictures. I hereby grant the therapists the full right to take, publish and reproduce photographs of me, my face, my eyes and/or eyelashes, both before and after the procedure, for any advertising, education, or other purposes whatsoever, including the right to retouch these photographs as deemed necessary by lash extension specialists. I further expressly assign any copyright in these photographs to there. I also grant my consent for lash extension specialists to use my images and likeness as contained in the photographs, along with any comments I may provide.

Care and maintenance. I agree to follow the care and maintenance instructions provided by lash extension specialists for the use and care of my eyelash extensions, and that if any follow up care is due to my own mistake negligence or failure to follow these instructions, this will be my own expense risk. I understand that if I do any of the following it may result in damage to my eyelash extensions or my cause my eyelashes to fall off prematurely. Knowing this I agree to follow this instruction for best result: I will avoid oil based eye products as these will loosen the bond of my eyelash extensions. I will avoid getting my lashes wet within 24 hours after application. For the first two days after application, I understand it is best to avoid swimming, saunas or steam rooms. If I experience any itching or irritation, I agree to contact lash extension specialists immediately to have the eyelash extensions removed. I agree not to pick, pull or rub my eyelash extensions. I understand that I should not attempt to remove my eyelash extensions on my own or with any product, but that the procedure requires that my eyelash extensions be professionally removed by lash extension specialists.


Eyelash Extensions Agreement and Consent Form


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