Lash Consent Form by Mayela Montanez-Agasang (Beautifeyed by Maye)
Beautifeyed by Maye
www.beautifeyedbymaye.com
(661) 752-5855
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Please Exit this Lash Form if Mayela Montanez-Agasang IS NOT your Lash Artist.
This service is performed by MAYELA MONTANEZ-AGASANG ONLY in Lancaster, California. (Independent Contractor)
FULL NAME (First & Last) *
Cell Phone Number *
Please Include Area Code ~ EX: (661)
Who referred you? *
Please Read and Agree to Beautifeyed by Maye's Policies.
I confirm and agree to engage the services of Beautifeyed by Maye to apply my eyelash extensions. *
Required
All Payment/Remaining Balances will be collected before services. *
Required
I understand that this procedure requires single synthetic eyelashes to be glued to my own natural eyelashes.
 *
Required
I understand that it is my responsibility to keep my eyes closed and still during the entire procedure, until MAYE tells me I can open them.
 (Please limit talking due to movement of eyes) *
Required
I understand that there are some risks of this procedure, which may not be limited to eye redness and irritation. The fumes from the adhesive may cause my eyes to tear up when I open my eyes.
 *
Required
I agree to disclose any allergies I have, including but not limited to latex, surgical tapes, cyanoacrylate, vaseline, etc.
 Please disclose any health/allergies. If you have any allergies below, please contact me. *
Required
I agree by reading and submitting this consent form, I release Maye from any claims or charges of any nature.
 *
Required
NO REFUNDS. If there is any irritation or allergies Maye can remove the lashes and you must follow up with your doctor if symptoms persist.
 *
Required
Booking Fee Policy/Rebooking Policy
To make an appointment:
A NONREFUNDABLE Booking Fee (Deposit) will be collected for each appointment.

Booking Fee Policy
Booking Fee will be credited towards your services.
All booking fees are NONREFUNDABLE if:
- 15 minutes late (appointments will be canceled)
- No Shows & Last Minute Cancellation
*You must pay another booking fee to book another new appointment
 
Please allow a 24-hour notice for changing appointments.

NO REFUNDS FOR ANY SERVICES
Booking Fee Policy/Rebooking Policy *
I understand that emergencies happen which is out of our control. I understand to give Maye a 24 hour notice if I need to move my appointment. I understand that it is hard for Maye to fill the last minute appointment that I have canceled. I understand that Maye is an independent contractor and will lose income. I understand that I will lose my booking fee.
Required
Please silence or turn off your phone before the procedure. *
Required
Recommended Lash Wash *
Available through Beautifeyed by Maye or at JoviLash.com. Please understand the importance of washing your lashes. Lashes must be cleansed daily to avoid infection and promote better retention. (Your lashes will not last more than a week without proper cleansing)
Required
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