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

    I understand that on 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 could occur. I agree that if I experience any of these conditions with my lashes, 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 approximately 60-120 minute procedure. Times may vary depending on the type and number of eyelashes applied.

    I am informing the certified eyelash extension professional of the following conditions by marking with a check:

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

    This agreement will remain in effect for this procedure and all future follow-ups 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 the eyelash extension application procedure.