LASH LIFT+TINT CLIENT LIABILITY WAIVER

PLEASE CHECK EACH BOX BELOW AND SIGN AT THE BOTTOM.

Name *
Date of appointment
 *
Have you ever had a lift+tint before?
 *
Required
Have you ever had an allergic or adverse reaction a lash lift+tint before?
 *
Required
I understand that there are risks associated with the lash lift+tint procedure. *
Required
I understand that the lashes will be curled with an advanced solution and a conditioning cream. *
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 to follow the aftercare instructions provided by my technician. *
Required
I understand failure to follow the aftercare instructions may cause an undesirable result. *
Required
I understand that in order to have a lash lift, I will need to keep my eyes closed for duration of 60-90 minutes during the procedure. 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
I understand that opening my eyes at any point during the lash lift procedure is not recommended, and may cause an undesirable result. I agree to keep my eyes closed throughout the procedure unless instructed to open them by my technician. *
Required
This agreement will remain in effect for this procedure and all future lash lift 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 how long the lash lift will last, on average it last between 6-8 weeks. 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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