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Lash Lift & Tint Consent

Consent to application for the service(s) described in this contract. Please thoroughly read and sign the attached agreement.

I agree to have an eyelash lift (perm) and/or eyelash tint applied to my natural eyelashes and/or retouched. By signing this agreement, I consent to the procedure of an eyelash perm and/or eyelash tint by my technician.


I understand there are risks associated with having an eyelash perm and/or eyelash tint. I further understand that as part of the procedure, eye/skin irritation, eye/skin pain, eye/skin itching, discomfort, and in rare cases infection or blurriness could occur. I agree that if I experience any of these medical conditions with my eyes, lashes, or skin that I will contact my technician and consult a physician at my own expense. I understand that even though my technician perms the lashes using the proper technique, and tints eyelashes using the proper technique, the instruments, tapes, cleaners, eye gel pads, adhesives, and solutions used may irritate my eyes and/or skin and may require a physicians follow-up care. I understand and agree to the care instructions provided by my technician for the use and care of my permed and/or tinted eyelashes. I realize and accept the consequences of failure to adhere to these instructions may cause the eyelashes to not stay permed as long as told.I understand and consent to having my eyes closed and covered for the duration of the 45-60 minute procedure.I will inform my technician of the following conditions before the start of service:


- Current use of contact lenses which I agree to remove during application

- Current use of anything such as oil-containing sunscreen or moisturizers around the eyes -Current use of eyedrops of any kind, prescription or over-the-counter

- Current allergies or sensitivities to instruments, fumes, tapes, cleaners, eye gel pads, adhesives, and removers that could cause my eyes to water and blink in excess

- History of recurrent eye or tear duct infections

- History of dry eyes or Sjogren's Syndrome

- Recent history of Chemotherapy

- Other medical conditions which would prohibit or compromise the process and retention of this eyelash perm and/or tint

Post Care

I agree to the following eyelash perm and/or tint post-op and maintenance instructions:


During 24 hours after a lash lift and tint, do not:


- Get your lashes wet or expose them to steam, moisture or sweat

- Sleep directly on your face

- Apply makeup to your lashes

- Expose your lashes to heat or a tanning bed

- Directly apply any kind of lash serum or product to your lash line that contains oil

- Give your lashes a quick brush each day, morning and night to keep that fresh curl in place


TIP: After the 24-hour period, a lash serum or oil can be applied to your lash line!


This agreement will remain in effect for this procedure and all future procedures conducted by my technician. 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 consent to the agreement and to treatment.


I release my technician from all liability associated with this procedure, which is performed with the utmost attention to safety and proper application using tools and products that the technician has been professionally trained to use. There are no guarantees for length of time the lashes will stay permed. I understand the aftercare instructions and will do my part to maintain my eyelashes. I understand that there are many factors that may affect the life of the eyelash lift such as water and moisture contact, weather conditions, and activities involving exposure to high temperatures.


By signing below, I verify that I have read and understand the above statements and agree to them. Permission is granted to take photos of my eyes and face which may be used for marketing purposes on a website or for client records.

Cancellation & No-Show Policy

Please note there is a policy in place regarding appointment cancellations and no-shows. If you need to cancel or reschedule, please do so at least 48 hours before your appointment to avoid charges. If an appointment is cancelled or rescheduled within 48 hours, a fee of 50% of the treatment cost will be applied. Failing to show up for an appointment will result in a charge of 100% of the service fee. There is a 10 minute grace period after your appointment start time, anything beyond 10 minutes is considered a no-show and results in a charge of 100% of the service fee. Thank you for your understanding, as this policy ensures that the scheduled time can be efficiently utilized to accommodate other clients. If you have any questions or need to make changes to your appointment, please let us know as soon as possible.

Photo and Video Consent

I consent to the capture and use of photographs and/or video recordings for the purpose of documenting and tracking my medical or treatment progress. I understand that these images may also be used with appropriate discretion and without identifying information, for professional, educational, and promotional purposes, including but not limited to clinical records, internal training, social media, and other digital or print content.


I acknowledge that my identity will be protected where appropriate.

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