Eyelash extension waiver

At Tangles Hair & Beauty Salon, we require each client to fill out an eyelash extension waiver before receiving any eyelash extension services. Please take a few minutes to fill out this form before your arrival, to ensure a more convenient and timely check-in.

PLEASE COMPLETE YOUR FORM HERE.

Eyelash Extension Waiver

Date *

Month *

Day *

Year *

First Name *

Last Name *

Email Address *

Phone Number *

Date of Birth *

Month *

Day *

Year *

On this day, I authorize a Certified Lash Technician to perform the service of eyelash extensions on my natural eyelashes. *

Yes, I authorize this treatmentThis includes the application of extensions, and/or the removal, or retouching of eyelash extensions.

I authorize future eyelash extension treatments to be provided by a Certified Lash Technician on my natural eyelashes. *

Yes, I authorize future treatmentsThis includes the application of extensions, and/or the removal, or retouching of eyelash extensions.

I give consent for photographs to be taken of my lashes and used for the salon’s use. *

YesNo

By signing below I am agreeing to the following: *

I Understand, and AgreeI understand that because of the natural lash cycle and everyday wear and tear, I will need to maintain my extensions with touch up appointments, Touch up appointments are usually recommended roughly every 2-3 weeks to keep the lashes full and to avoid any damage to my natural lashes. I understand and agree to follow the after-care instructions provided, for the use and care of my eyelash extensions. I realize and accept that failure to adhere to these instructions, may cause the eyelash extensions to fall out and/or decrease the time the lashes will last. I understand that there are risks associated with having eyelash extensions applied to or removed from my natural eyelashes. I understand to keep my eyes closed throughout the process. I hereby release any and all persons representing the salon from all claims, demands, damages, actions, and cause of action arising out of the performance of the service. (No refunds) I have informed my eyelash technician of the following: Current use of contacts, current use of eye drops, current allergies or sensitivities, history of recurrent eye or tear duct infections, history of dry eyes, the recent history of chemotherapy, recent micro-dermabrasion or chemical peels, Lasik eye surgery, permanent make-up, recent eye-lift, history of eyelash tints or perms.

I certify that I completely understand and comply with the above as stated. *

I Understand and Comply

Signature *