Azja Lash Bar - New Client Consent
Welcome! All new clients must agree to the New Client Consent form. This is to ensure that you are fully aware of the policies of Azja Lash Bar and the care requirements for your new lash extensions.
Email address *
First Name *
Your answer
Last Name *
Your answer
Phone Number
Your answer
I agree to have eyelash extensions applied to my natural eyelashes and/or removed and retouched. By booking a Azja Lash Bar, I consent to the placement and/or removal of the eyelash extensions by the certified eyelash extension professional. 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 (No refund will be given).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.I understand and consent to having my eyes closed and covered for the duration of approximately 60-120 minute procedure. Times may vary depending on the type and number of eyelashes applied.I am informing the certified eyelash extension professional of the following conditions:-Current use of contact lenses which I may be asked to remove before 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 Reoccurring eye or tear duct infections.
-History of dry eyes or Sjorgen’s Syndrome.
-Recent history of Chemotherapy.
-Other medical conditions which would prohibit or compromise placement and retention of eyelash extensions.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 the eyelash extensionsShould any kind of eye drops be necessary extra care should be taken to prevent moisture from coming into contact with the eyelash extensionsThis agreement will remain in effect for this procedure and all future follow-ups conducted by the certified eyelash extension professional.I release my technician or salon Azja Lash Bar/Heaven from all liability associated with this procedure, which is performed with the utmost attention to safety and proper application, using tools and products the technician has been properly trained to use. There is no guarantee for the bonding time of the eyelash extensions. I understand that there are many factors that may affect the life of the eyelash extensions, such as water, moisture contact, weather conditions, and activities involving exposure to high temperatures.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 or the Guardian over the under age child and consent to the agreement and to the eyelash extension application procedure. *
A copy of your responses will be emailed to the address you provided.
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