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*Optional* For promo use only
How did you hear about us? Emergency Contact Phone * You must be over 18 to consent to services. You must be over 16 to receive services. Under 18 requires parental signature * Do you wear contact lenses? * Have you ever had your lashes lifted? * Are you currently pregnant or nursing * PLEASE READ AND UNDERSTAND THE FOLLOWING:
Each box check provides electronic confirmation & consent
I agree and consent to have an eyelash lift applied to my natural eyelashes and/or retouched. * There are risks associated with having a lash lift. As part of the procedure, eye irritation, eye pain, eye itching, discomfort, and in rare cases allergic reaction, eye infection, or blurriness could occur. At my request I may have a patch test done at least 24 hours before my appointment. I agree that if at any time, I am uncomfortable with the lash lift treatment, I will inform the technician and she will gladly rectify the problem, including ending the session. * If any products come into contact with my eye, my eye will be flushed and I will be assisted in seeking medical attention immediately. * I understand and consent to having my eyes closed for the duration of an approximately 60 minute procedure and that it is my responsibility to keep them closed and remain still during this time. Procedure times vary. * It is my responsibility to prepare my eye area prior to arrival. Eyelashes should be clean, dry, and free of mascara, makeup, and oil residue. If I attend my appointment without proper preparation, Lash Fox Beauty cannot guarantee lasting or satisfactory results and may charge me a cleaning fee prior to application. *For best results please let us know if you have any mascara or residue on your lashes. * There are no guarantees for the length of time your lash lift will last. I understand the aftercare instructions and will do my part to maintain my eyelashes. I understand that there are many factors that may affect the life of the lash lift such as water and moisture contact, weather conditions, and activities involving exposure to high temperatures. * I understand and agree to the following after-care instructions for best results and longevity of my lash lift. I realize and accept the consequences of failing to adhere to these instructions may cause the lift to relax and/or decrease the time the lashes will last. *
Please check all boxes to confirm aftercare is understood.
We suggest checking with your doctor prior to having a lash lift if you: are pregnant, nursing, have chronic dry eye, conjunctivitis, eye infections, trichotillomania, have recently undergone chemotherapy, or have recently had Lasik or blepharoplasty surgery. * I may not be a candidate for a lash lift if I have damaged lashes or lashes with gaps or have extremely short natural lashes. * I understand the cancellation policy as follows: *
Please check each box to confirm you agree to these terms
I understand services are non-refundable. * I understand that photos may be taken by Lash Fox Beauty of me, my face, and/or my eye area, both before, during and/or after the procedure for insurance, training and other purposes. These photos will not be shared unless consent is provided below. * Optional: I give Lash Fox Beauty permission to publish and reproduce photographs of me, my face, and/or my eye area, both before and/or after the procedure If you have any questions please feel free to leave them here to discuss upon arrival. If you would like to discuss prior to your appointment please note that as well and we will be in touch, This agreement will remain in effect for all lash lift and/or tinting procedures performed at Lash Fox Beauty. I will inform Lash Fox Beauty of any changes applicable to this agreement. I read English and understand that this agreement is legal and binding. I will not hold Lash Fox Beauty or any of its service providers liable for any damages on this day or any day forward. I have read and understand all information in this agreement. I am over 18 years of age and consent to this agreement and to the services rendered.