• 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.

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• i understand that in rare occasions there are risks associated with having artificial eyelashes and eyelash extensions applied to or removed from my natural eyelashes. I further understand that in rare cases as part of the procedure eye irritation and discomfort could occur. I agree that if I experience any of these conditions with my lashes that I will  contact the certified eyelash extension professional that performed this procedure and it may be beneficial to have the eyelashes removed.

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• 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.

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• 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.

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• I am informing the certified eyelash extension professional of the following conditions :

  • Current use of contact lenses which I may be asked to remove during the procedure

  • Current use of anything such as oil-containing sunscreen or moisturizers around the eyes 

  • Current use of eye drops of any kind, prescription or over-the-counter 

  • Current allergies or sensitivities

  • HISTORY OF RECURRENT EYE OR TEAR DUCT INFECTIONS

  • History of dry eyes or Sjorgen’s Syndrome

  • Recent history of Chemotherapy

  • Other medical conditions to include, but not limited to, conjunctivitis, diabetes, alopecia, dry eye syndrome, glaucoma , which would prohibit or compromise placement and retention of eyelash extensions

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• I agree to the following eyelash extension follow-up and maintenance instructions:

  • No waterproof mascara

  • No oil based products around the eye area

  • No water can come in contact with the eye area for 24 hours after the application

  • No tinting or perming of eyelash extensions

  • NO PULLING OR RUBBING OF EYELASH EXTENSIONS

  • Should any kind of eye drops be necessary extra care should be taken to prevent moisture from coming into contact with the eyelash extensions:

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By reading this agreement, you agree and understand that this will remain in effect for this procedure and all future follow-ups conducted by the certified eyelash extension professional. I read English and understand that this consent agreement is legal and binding.

 

I have read and fully understand all information in this agreement. I am over 18 years of age and consent to the agreement and to the eyelash extension application procedure.