Lash Consultation & Consent Form

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Name *

First and last name

Phone Number *

Please read and check next to each statement acknowledging you understand and agree to each statement. *

I 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 licensed 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.

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 understand I will be advised to remove any contact lens during the appointment.

I agree that by reading and signing this consent form, I release For Looks Studios LLC from any claims or damages of any nature.

Required

Any allergies? If so please list below. *

By typing your name below, you are signing this Was Consultation & Consent Form electronically. You agree your electronic signature is the legal equivalent of your manual/ handwritten signature. *

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