• Eyelash Extension Appointment Form

    Eyelash Extension Appointment Form

  • Please read carefully the following instructions:

    Extensions are individual synthetic material that is attached to your own eyelashes, not to your skin.

    These lashes can stay up to 2 months with proper care and maintenance that depends on the individual, lifestyle, and eyelash growth.

    After implementation, please DO NOT:

    • try to remove eyelash extensions on your own
    • use a regular eyelash curler
    • rub your eyes or lashes
    • pull your lash extensions
    • go to sauna
    • use mascara
    • cut the extension

    By signing this appointment and consent form, I, hereby, acknowledge, consent, and agree to all of the following:

    • I have read and understood the instructions above.
    • The eyelash extension procedure requires synthetic eyelashes to be glued to my own natural eyelashes.
    • It is my responsibility to keep my eyes closed and be still during the entire procedure until the technician leads me to do the opposite.
    • There are some risks of this procedure may be but not limited to eye redness and irritation. The fumes from the adhesive may cause my eyes to tear up if I do not keep my eyes closed.
    • I disclosed any allergies that I may have.
    • I need to follow the after-care instructions and for any unexpected circumstances due to not following these instructions are at my own risk.

    I confirm and agree that I wish to engage eyelash extension services at your business in my own will.

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