LASH EXTENSION CLIENT LIABILITY WAIVER

PLEASE CHECK EACH BOX BELOW AND SIGN AT THE BOTTOM.

Name *
Date of appointment
 *
Have you ever had lash extensions before?
 *
Required
Have you ever had an allergic or adverse reaction lash extensions before?
 *
Required
I understand that there are risks associated with having artificial eyelashes applied to and/or removed from my natural lashes. *
Required
I understand that the eyelash extensions will be applied to the natural lash as determined by the technician so as not to create excessive weight on the natural eyelash thereby preserving the health, growth and natural look of the client’s natural eyelashes. *
Required
I understand that as part of the procedure, eye irritation, pain, itching discomfort and in rare cases eye infection may occur. *
Required
I understand and agree that if I experience any of these issues with my lashes I will contact my technician to discuss the possibility or having the eyelash extensions removed immediately and consult a physician at my own expense. *
Required
I understand that even though the technician may apply and remove the eyelash extensions properly, that adhesive material may become dislodged during or after the procedure, which may irritate my eyes or require further follow up care. *
Required
I understand and agree to follow the aftercare instructions provided by my technician. *
Required
I understand that failure to follow the aftercare instructions may cause the eyelash extensions to shed prematurely.
 *
Required
I understand that in order to have the eyelash extensions applied to my eyelashes I will need to keep my eyes closed for duration of 2-3 hours during full set appointments and 1.5-2 hours for fill appointments. I also understand that I will need to be lying in a reclined position. Any medical conditions that might be aggravated by lying still for a prolonged period of time may mean that I will not be able to have the procedure performed on my eyes. *
Required
This agreement will remain in effect for this procedure and all future procedures conducted by my technician or any other technician conducting business at the salon/spa listed below. I understand that this agreement is binding and that I have read and fully understand all information above. I represent that I am over the age of 18 years. If below 18 years of age a parent or guardian must also sign this form. *
Required
I release my technician and Charmed from all liability associated with this procedure. There are no guarantees for the bonding time length of the eyelash extensions. Our company or salon is not responsible for any technician errors. I understand that I have been advised to follow the aftercare protocol from my technician so as to avoid any discomfort or adverse side effects after the procedure has been completed. *
Required

By signing below, I verify that I have read and understand the above statements and agree to them.

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Enter your name below as your digital signature
Phone number *
Email *
Date of signing
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