Consent Form – Eyemakeover

I agree to have tab/mink eyelash extensions applied to my natural eyelashes and/or removed and retouched. By signing this agreement, I consent to the placement and removal of eyelash extensions by the certified eyelash extension professional.

• I understand there are risks associated with having artificial eyelashes and eyelash extensions applied to, or removed from my natural eyelashes. I further understand that as part of the procedure, eye irritation, eye itching, and in rare cases, eye infection can occur. I agree that if I experience any of these medical conditions with my lashes I will contact the certified eyelash extension professional and have the eyelashes removed immediately and consult a physician at my own expense. I understand that even though the certified eyelash extension professional applies or removes the eyelash extensions using the proper technique, the instruments, tapes, cleaners, adhesives, and removers used may irritate my eyes or require a physician’s follow-up care and subsequent removal of the eyelash extensions.
• I understand and agree to the care instructions provided by the certified eyelash extension professional for the use and care of my tab/mink eyelash extensions. I realize and accept the consequences of failure to adhere to these instructions may cause the tab/mink eyelash extensions to fall out, damage the extensions and/or decrease the time the lashes will last.
• I understand and consent to having my eyes closed and covered for the duration of the 30-45-minute procedure.
• I am informing the certified eyelash extension professional of the following conditions by marking with a check:

• I agree to the following eyelash extension maintenance instructions: • No waterproof mascara • No prescription or over-the-counter eye drops • No oil based products around the eye area • No water can come in contact with the eye area for 24 hours of the application • No tinting or perming of eyelash extensions • No continuous pulling or rubbing of the synthetic lashes
• This agreement will remain in effect for this procedure and all future procedures conducted by the certified eyelash extension professional. 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.

Clients have up to 24 hours to fix or remove their extensions at no additional cost, after the 24-hour period, this salon is not responsible for adding or removing any lashes. There will be a charge.

Although every precaution will be made to ensure your safety and well being before, during and after your tinting

• I understand that tinting lashes or brows has some inherent risk of irritation to the orbital eye area, including the eye itself and could result in stinging or burning, blurry vision and potentially blindness should the tint enter the eye.
• I understand that if the tinting agent, developer or mixture of both accidentally comes into contact with my eye, my eye will be flushed wuth water and medical attention may be required.
• I understand that some irritation, itching or burning may occur to the skin which comes in contact with the tinting agent.
• I understand that there may be some residual dark staining left on the skin following the tinting process or either my lashes, brows or both. This will fade and go away within a short time.
• I  understand that, while every attempt will be made to provide me with my chosen color, everyone's hair absorbs color differently and my results may not be the color I initially wanted.
• I understand that over the course of several weeks, the tint will gradually lighten and fade. Re-tinting will be required to keep the new color fresh. Most clients need to re-tint every 3-4 weeks. I have read the above information. If I ahve any concerns, I will address these with my skin care stylist. I give permission to my stylisy to performm the tinting procedure we have discussed and will hold him/her and his/ her staff harmless from any liability that may result from this treatment.

I certify that I have read and fully understood the above points and that I have had sufficient opportunity for discussion to have any questions answered. I understand the procedure and accept the risks. I do not hold the Glam India Beauty responsible for any of my conditions that were present.