Lash Extension Consent Form

Name

First NameLast Name

Phone Number

Please enter a valid phone number.

E-mail*

example@example.com

By clicking the following boxes you agree and confirm that you willingly consent to the following terms and conditions:*

I agree to have eyelash extensions applied to my natural eyelashes and/or removed and retouched.I understand that in rare occasions there are risks associated with having artificial eyelashes and eyelash extensions applied to or removed from my natural eyelashes. I further understand that in rare cases as part of the procedure, eye irritation and discomfort may occur. I agree that if I experience any of these symptoms with my lashes that I will contact the certified eyelash extension professional that performed the service, and it may be beneficial to have the eyelashes removed.I understand and agree to the aftercare instructions provided by the certified eyelash extension professional for the use and care of my eyelash extensions. I realize and accept the consequences of 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 and consent to having my eyes closed and covered for the duration of the service. Approximately 2-3 hours. Times may vary depending on the type and number of eyelashes applied.I am informing the certified eyelash extension professional of any medical condition, allergies, or anything health related.I understand that because of the natural lash cycle and wear and tear, I will need to maintain my extensions with touch up appointments, usually recommended every 2 to 3 weeks to keep my eyelash extensions looking full.I will let the technician know if I am experiencing any of the following symptoms before my appointment: cough, shortness of breath, fever, muscle pain, body aches, nausea, loss of taste or smell. Or if I have been in contact with any person who has contracted Covid-19 within the past 14 days prior to my appointment.This agreement will remain in effect for this service and all future follow ups conducted by the eyelash extension professional. I 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 eyelash extension procedure.

Photograph and Video Release Form:

I hereby grant and authorize the eyelash technician to the rights of my image, likeness and sound of my voice as recorded on audio or video without payment or any other consideration. I understand that my image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally I waive any right to royalties or other compensation arising or related to use of my image or recording. I also understand that this material may be used in diverse educational settings with an unrestricted geographic area.I understand this permission signifies that photographic or video recordings of me may be electronically displayed via the internet, including but not limited to, social media.I acknowledge that I have completely read and understand the above release and agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing this material.

By checking the following boxes, you have read and agreed to the following appointment policies:

I understand that if I cancel my appointment less than 48hrs of its scheduled time, deposit will be forfeit. This includes canceling same day and not showing up to my appointment. A new deposit will be required for an additional booking. In the event that your lash artist cancels, you can choose to move your deposit and reschedule or cancel and deposit will be returned. Cancellation on the lash artist end is the only way your deposit will be refunded.I understand and aware of "Unik Beauty" late policy. Treatment may be cancelled or modified and conclude at the originally scheduled time. I will ensure to notify my eyelash technician right away to verify if there will be enough time to accommodate service or if it will be cancelled. No exceptions.

Use this space below to provide any information I might need prior to your appointment, or if you may have any additional questions.

Date

I, Full Name* that I have read the foregoing Eyelash Extension & Appointment Consent Form and understand its contents. I have been sufficiently informed of the risks involved and give my voluntary consent in signing this form as my own free act and deed and will not hold Unik Beauty LLC liable.

Signature