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

eyelash extensions


I understand that on rare occasions there are risks associated with 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 could occur. I agree that if I experience any of these conditions with my lashes that I will contact the certified eyelash extension professional that performed this procedure and it may be beneficial to have the eyelashes removed.

I understand and agree to the after-care 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 have my eyes closed and covered for the duration of an approximately 60-120 minute procedure. Times may vary depending on the type and number of eyelashes applied.

I agree to the following eyelash extension follow-up and maintenance instructions:

  • No waterproof mascara
  • No oil based products around the eye area
  • No water can come in contact with the eye area for 24 hours after the application
  • No tinting or perming of eyelash extensions
  • No pulling or rubbing of the eyelash extensions
  • Should any kind of eye drops be necessary extra care should be taken to prevent moisture from coming
  • into contact with the eyelash extensions

Thank you

Your consent form has been submitted. you are ready for your appointment.