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Please read, initial and sign the following waiver for your eyelash or brow service. If you need to sign a paper copy, one will be provided at the time of your appointment.

Cancellation/No Show/Rescheduling Policy:

 
All appointments require a valid credit card to reserve your desired appointment time.  



 
A 24 hour notice is required if you wish to cancel or reschedule your appointment.  


 
If less than 24 hours notice is given, a cancellation fee of 50% of the total scheduled appointment cost will be charged to the credit card on file.  Please note, that we will only charge your credit card if you do not give 24 hours notice. If your appointment is considered a “no show” you will be charged for the full price of your appointment. 

If credit card on file is declined, you will receive an invoice with cancellation fee via e-mail.  If fee is not paid within 24 hours, you will further forfeit, thereby cancelling all future booked appointments and will not be considered for future appointments. 



 
 
Late Arrivals: 
 
As a courtesy to all, and to ensure sufficient time for a quality experience please be on time to your appointment. There is no extra fee for arriving late but your service may be shortened in effort to make sure client appointments following yours are not also pushed back.  Please be aware that the full amount of your original scheduled service time will still be applied to your total at the end of your appointment. 

If you are more than 15 minutes past the start time of your appointment, the service will be canceled and you will be charged the full amount.



 
Refunds and Returns:
 
No refunds, returns or exchanges are given for products or services rendered. 


 
Reactions and Sensitivies:
 
A reaction to products used during your lash service, although at very low-risk, are a possibility you should be aware of when getting lash extensions. Unless known allergies are stated by you, it is unfortunately otherwise not foreseeable. No refunds will be issued for reactions.
If you currently are experiencing a reaction from lashes applied at another salon or have had a reaction to adhesive or lashes in the past, we will unfortunately not be able to service you. Written permission from a physician is required to proceed with any future services. 


 
Children: 
 
While we do love children!  To ensure their safety and for insurance liability considerations, we respectfully ask that no children accompany you to your appointment. Thank you for understanding. 


 
Pets:
 
Again, we are animal lovers at heart!  But to ensure their safety, the safety of other clients who might have allergies to animals- and for insurance liability considerations- we respectfully ask you to refrain from bringing any animals with you to your appointment. 

I understand and consent that I have read the previous page and agree to it and the following: I agree to only use recommended products on my eyelash extensions or lash lift. I understand that there are many variables, hair growth, use of cosmetics and skin products, and the overall care given, that will influence how long my eyelash extensions or lash lift remain in place. I acknowledge that I should not rub my eyes or pull on my lashes after extensions or lash lift have been applied. I have been advised that using mascara will shorten the length of time my extensions will remain in place. I understand that touch up appointments are necessary every few weeks after the application if I wish to maintain the extensions, and that there additional fees above the standard fill price for this procedure if there is excessive lash loss. 
I also realize that the following risks and hazards may occur in connection with any treatment including and not limited to: unsatisfactory results, discomfort, redness, infection. I understand that even though all precautions will be taken in my treatment, not all risks can be known in advance. I have read and discussed the above information with my licensed eyelash technician and authorize the application of eyelash extensions, lash tint, lash lift solution products to my eyelashes.  


Acknowledgment of risk
By agreeing to have eyelash extensions, lash lift or lash tint applied you acknowledge that:
There are risks involved when using sharp instruments and adhesive around the eye and you assume those risks in this procedure. All lash adhesives, including medical grade do contain ingredients which can be irritating and/or cause an allergic reaction. Regina Dylan Studio takes no responsibility for the injury due to the use of application of lash and brow products.  


Indemnification and Waiver of Liability
IN NO EVENT WILL REGINA DYLAN STUDIO OR ITS DIRECTORS, OFFICERS, OWNERS, EMPLOYEES, INDEPENDENT CONTRACTORS, SUPPLIERS AND LICENCORS BE LIABLE FOR ANY CLAIMS, DEMANDS,DAMAGES, LIABILITIES, SUITS, ATTACHMENTS, JUDGMENTS, LOSSES, PENALTIES, FINES, SETTLEMENTS, EXPENSES, INCLUDING COURT COSTS, AND REASONABLE ATTORNEYS FEES INCIDENT THERETO:
INDIRECT, SPECIAL, INCIDENTAL, ECONOMIC, CONSEQUENTIAL, AND EXEMPLARY OR PUNITIVE DAMAGES ARISING OUT OF THE USE OR MISUSE OF PRODUCTS SOLD. BUYER SHALL INDEMNIFY, DEFEND AND HOLD HARMLESS REGINA DYLAN STUDIO, ET AL SUCH CLAIMS AND ACTIONS IN EACH CASE NOTWITHSTANDING THE ACTUAL OR ALLEGED NEGLIGENCE (WHETHER ACTIVE OR PASSIVE, SOLE OR CONCURRENT, SIMPLE OR GROSS), STRICT OR STATUTORY PROVIDED THAT THE LIABILITY WILL BE LIMITED TO THE PURCHASE PRICE OF THE PRODUCT. 
DO NOT SIGN THIS FORM UNLESS YOU HAVE READ IT AND FEEL THAT YOU UNDERSTAND IT. ASK ANY QUESTIONS YOU MIGHT HAVE BEFORE SIGNING THIS FORM. DO NOT SIGN THIS FORM IF YOU HAVE TAKEN MEDICATIONS WHICH MAY IMPAIR YOUR MENTAL ABILITIES OR IF YOU FEEL RUSHED OR UNDER PRESSURE.

April 26, 2024

First Clients Name

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Tenth Clients Name

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Street address, P.O. box, company name, c/o
Address Line 2:
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Parent or Guardian's Email Address

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Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

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Relationship*

Phone*
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Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information

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Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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