Consent Form
The below form is required for all clients who receive any lash service from Vanity Room Lash Bar and/or Lash Habit. Should you have any questions/concerns about any eyelash service, please discuss with your physician.
Email address *
Vanity Room/Lash Habit Client Extension Consent Form
Full Name *
Your answer
Email Address
Your answer
Your answer
Phone Number
Your answer
Please check any contraindications: *
Are you or do you suffer from any of the following: *
I agree to have lash extensions put on by an individual of Vanity Room Lash Bar. I understand and have been explained the process and am aware a reaction to the glue is possible. In the event this were to happen, I have been informed that I can have the extensions safely removed by this establishment. I release Vanity Room Lash Bar and the individual that is applying the extensions from any damages and/or responsibility should a reaction occur. *
I understand there are no guarantees, warranties, promises, commitments or refunds and acknowledge that I have no particular representation or guarantees, and I am consenting to the eyelash extension application at my own risk. *
I understand that if I apply mascara to my extensions I may be charged for a fee for cleaning them and this will take time away from the application service and they may not be as full as I want them to be. I will still be charged for the full appointment price as well. *
I understand that I should not ever apply mascara on my volume extensions as this will ruin them and make them fall out sooner. There will not be any free touch ups if i apply mascara to my volume or classic extensions. (The stylist always knows!) *
I understand that I should have at least 15 extensions per eye or I will be charged for a re-lash. *
I understand that if i’m 15 minutes or more late, my appointment may be cancelled and I will still be charged full price. *
New Client Infill
I understand and agree that depending on the condition of my lash extensions and how they were applied at the previous establishment (other than Vanity Room) that some or all may need to be removed first. *
Please sign and date below to indicate that you have read all statements and understand: I, the client herein signed, certify that I have read and had explained to me and fully understand the above waiver and release form. I have provided information regarding my health and medications taken to the best of my knowledge, the client herein signed, for the purposed of documentation, hereby consent to any “before and after” photographs, which may or may not be used for the purposes of advertising. *
Your answer
Date Completed *
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