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Lash & Brow Tint Consent Form
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First and last name: *
Date of procedure: *
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Date of birth: *
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I understand that there are risks associated with the lash tinting and/or brow tinting procedure. *
I understand and agree to have an eyelash tint and/or brow tint applied to my natural lashes and/or eyebrows. *
I understand that as part of the procedure eye irritation, pain, itching, discomfort and, in rare cases, eye infection or potential blindness may occur if tint enters the eye. I also understand that opening my eyes during the procedure is not recommended. I agree to keep my eyes closed during the procedure unless instructed to open them by my technician. *
I understand that even though the technician tints the lashes properly, that any eye tape or eye gel pads used may irritate my eyes. I also understand that some irritation, itching or burning may occur to the skin which comes in contact with the tinting agent. *
I understand that my technician will take every precaution to minimize or eliminate any negative reactions as much as possible. *
I understand that there may be some residual dark staining left on the skin following the tinting process of either my lashes, brows or both. This will fade and go away within a short time. *
I understand that in order to have my eyelashes tinted I will need to keep my eyes closed for a duration of up to 30 minutes during the procedure. I also understand that I will need to be lying down. 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 tinting procedure performed on my eyes or brows. *
This agreement will remain in effect for this procedure and all future procedures conducted by my technician or any other technicians conducting business at Vine Lash & Beauty Co. 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 old. If below 18 years of age a parent or guardian must also sign this form. *
If below the age of 18 years old, please have your parent or guardian sign here by typing their name below.
I release my technician and/or Vine Lash & Beauty Co. from all liabilities associated with this procedure. There are no refunds, and there are no guarantees with the outcome of desired color or how long the tinting procedure will last. On average it lasts between 4-6 weeks. Our company or salon is not responsible for any technician errors. *
Please type your full name (if under 18 years of age please also type the parent or guardian's name) below to confirm that you understand and accept these liabilities and policies. *
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