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Eyelash Extensions Form
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Eyelash Extensions Form
Client Waiver
Please read and initial the following statements:
I understand the importance of disclosing my health history and have not withheld any conditions
(Required)
Yes
I understand that synthetic eyelash extensions will be adhered to my natural eyelashes during this service.
(Required)
Yes
I understand that my technician can only apply extensions that are safe for your natural lashes to prevent damage.
(Required)
Yes
I understand that I am required to lie still with my eyes closed for an extended period of time and that opening my eyes prematurely can expose them to fumes which may irritate or cause a reaction
(Required)
Yes
I understand the risks that may be associated with this service which include redness, irritation, allergic reaction and possible blindness
(Required)
Yes
I understand that my natural lashes will grow and fall out and that fill appointments are required every 2-4 weeks to maintain the eyelash extensions.
(Required)
Yes
I understand that should an allergic reaction occur, a refund will not be issued but I can request a free removal of the eyelash extensions
(Required)
Yes
I understand that proper aftercare must be followed to keep my extensions clean and healthy. An aftercare card will be provided after the service.
(Required)
Yes
I understand and agree that by signing this waiver I release the technician from any expenses, liabilities and damages that may come from this or any future procedures or purchases.
(Required)
Yes
Signature
By signing below, I certify that I have read and understand these terms and conditions.
Name
First
Last
Sign Here
(Required)
Date
(Required)
MM slash DD slash YYYY
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HOME
SERVICES
Skin Care
Brow Definition
Eyelash Extensions
Facial
Microblading
Microdermabrasion
Body
Fibroblast Plasma Skin Tightening
Massages
Botox
Waxing
image
BOOKING
GALLERY
PRODUCTS
CONTACT US
Jcandy Terms
JCandy Forms