Contact in case of Emergency

  CONSENT 

I UNDERSTAND THAT THIS PROCEDURE REQUIRES SINGLE SYNTHETIC LASH HAIR TO BE GLUED TO MY OWN NATURAL EYELASHES.

I UNDERSTAND THAT IT IS MY RESPONSIBILITY TO KEEP MY EYES CLOSED & BE STILL DURING THE ENTIRE PROCEDURE, UNTIL MY EYELASH TECHNICIAN ADDRESSES ME TO OPEN MY EYES.

 I UNDERSTAND THAT SOME RISKS OF THIS PROCEDURE MAY BE BUT NOT LIMITED TO EYE REDNESS & IRRITATION. THE FUMES FROM THE ADHESIVE MAY CAUSE MY EYES TO TEAR UP IF I
OPEN MY EYES.

 I AGREE TO DISCLOSE ANY ALLERGIES THAT I MAY HAVE TO LATEX, SURGICAL TAPES, CYANOACRYLATE, VASELINE, ECT.

I UNDERSTAND THAT I AM REQUIRED TO FOLLOW THE EYELASH EXTENSION CARE INFO IN ORDER TO MAINTAIN THE LIFE OF THESE EXTENSIONS. 

I AGREE THAT BY READING & SIGNING THIS CONSENT FORM, I RELEASE MARIA GUDINO FROM ANY CLAIMS OR DAMAGES OF ANY NATURE.

I AGREE THAT I READ & FULLY UNDERSTAND THIS ENTIRE CONSENT FORM.

I AM OF SOUND MIND & FULLY CAPABLE OF EXECUTING THIS WAIVER FOR MYSELF.

I GIVE MARIA GUDINO PERMISSION TO SHOW MY BEFORE & AFTER PHOTOS OF EYELASH EXTENSIONS TO OTHER POTENTIAL CLIENTS.

 I HAVE READ & COMPLETED THE EYELASH EXTENSION INTAKE & CONSENT FORM IN ITS ENTIRETY, & HAVE ANSWERED EVERYTHING TO THE BEST OF MY ABILITY. I HAVE BEEN INFORMED OF POTENTIALLY HARMFUL OR NEGATIVE SIDE EFFECTS THAT MAY BE CAUSED BY THE APPLICATION AND/OR REMOVAL OF EYELASH EXTENSIONS.

I CONFIRM & AGREE THAT I WISH TO ENGAGE THE SERVICES OF MARIA GUDINO TO APPLY EYELASH EXTENSIONS.