Lash Client Consent Form
Client Information: Name: ___________________________________________________________ Date of Birth: ___________________________ Address: _________________________________________________________ Phone Number: _________________________ Email: ________________________________ Emergency Contact: _____________________________ Medical Conditions/Allergies: _____________________________
Lash Extension Services: I, ___________________________ (client's name), hereby consent to receive lash extension services from ___________________________ (lash artist's name/business name).
I understand and acknowledge the following:
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Purpose of Lash Extensions: Lash extensions are applied to my natural lashes using adhesive. The purpose of lash extensions is to enhance the length, curl, and thickness of my natural lashes.
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Procedure: The lash extension procedure involves the use of adhesive, tweezers, and other tools to apply synthetic lashes onto my natural lashes. The process may take several hours and I will be required to keep my eyes closed during the procedure.
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Risks and Potential Side Effects: I understand that lash extensions may cause potential side effects, including but not limited to eye irritation, redness, discomfort, allergic reactions, eye infections, and damage to natural lashes. I acknowledge that if I experience any discomfort or adverse reactions, I will notify the lash artist immediately.
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Aftercare: I will follow the aftercare instructions provided by the lash artist, which may include avoiding excessive moisture, heat, and oil on the lashes, avoiding rubbing or pulling on the lashes, and regular maintenance appointments to fill in any gaps as needed.
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Results and Expectations: I understand that the final results of the lash extensions may vary depending on factors such as my natural lash condition, lifestyle, and aftercare routine. I acknowledge that the lash artist will make their best effort to achieve the desired results, but cannot guarantee specific outcomes.
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Removal: I understand that I should not attempt to remove the lash extensions on my own and should only have them removed by a trained lash professional. I will not hold the lash artist responsible for any damage caused by improper removal.
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Photography/Use of Images: I give my consent for the lash artist to take before and after photos of my lashes for their records and promotional purposes, while ensuring my personal information remains confidential.
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Release of Liability: I release the lash artist from any and all liability for any injuries, damages, or losses that may arise from or in connection with the lash extension services, except for damages arising from the lash artist's gross negligence or willful misconduct.
I have read and understand the above information, and I voluntarily consent to receive lash extension services from the lash artist named above. I acknowledge that I have been given the opportunity to ask questions and have received satisfactory answers.
Client Signature: ___________________________ Date: _____________________ Lash Artist Signature: ________________________ Date: _____________________
