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Panache Beauty

1109 Seminole Dr, Rockldge, FL, 32955

321-338-7273

is 

Panache Beauty Salon & Spa LLC

Eyelash Extensions Client Consent Form

 

I hereby authorize Joanne Nicholson of Panache Beauty Salon & Spa LLC  , a fully trained and certified Lash technician to apply semi permanent lash extensions to my eyelashes.

I accept responsibility for determining the length and thickness of the lashes, as agreed during my consultation.

I understand that a maintenance procedure is required to keep the lashes looking thick and full, and I am aware that I will be charged additional fees for further work. 

I understand that with any treatment certain risks are involved and that any complications or side effects from known or un-known causes could occur. I freely assume these risks. I confirm that I have completed the above to the best of my knowledge and the answers I have given are correct. I have not with held any information.  

If notified, I give my full consent for Joanne Nicholson of Panache Beauty Salon & Spa LLC to use both before and after photos for her portfolio and advertising purposes.   These photos may be used for advertising, media publications, social networking sites, websites and will only be linked to Panache Beauty Salon & Spa LLC , creating effortless beauty. 

I Agree
 

 

 

CANCELLATION and RESCHEDULING POLICY:

As we strive to accommodate our clients to the best of our ability. All of our appointment confirmations are sent via text  and email.  Please confirm​ and honor your appointment, if you must cancel or reschedule please do so at least  24  hours before your appointment time to avoid cancellation fee.

A 50%  cancellation fee will be charged to the credit card on file or added with the next scheduled appointment for each appointment that is cancelled less than 24 hours before the appointment time.

I Agree

.

* No-call No shows will be charged or billed for 50% of the  amount of service appointment. .

* Clients who have no-showed for appointments will be asked to prepay/pay a deposit towards their visit when booking future appointments.

.* All appointment cancellations must be made & confirmed via telephone or text.  Appointment cancellations  email are not accepted.

I Agree

LATE ARRIVALS:

We try our best  accommodate everyone needs, as this may  inconvenience our next scheduled appointments, understand that clients arriving over 15 minutes late will  be asked to reschedule and a flat fee of $10 will be added to the next schedule appointment.  .

I Agree

NOTICE: We accept all forms of payments. All credit card transactions will be charged a convenience fee in the amount of $1.50 per transaction.

Please read carefully & only sign if you are in full agreement with its contests.  I confirm that I have understood the treatment that I am about to receive and confirm that I am willing to proceed .


 

First Clients Name

First Name*

Middle Name

Last Name*

Phone*
First Clients Date of Birth*
First Clients Signature*
Second Clients Name

First Name*

Middle Name

Last Name*
Second Clients Date of Birth*
Third Clients Name

First Name*

Middle Name

Last Name*
Third Clients Date of Birth*
Fourth Clients Name

First Name*

Middle Name

Last Name*
Fourth Clients Date of Birth*
Fifth Clients Name

First Name*

Middle Name

Last Name*
Fifth Clients Date of Birth*
Sixth Clients Name

First Name*

Middle Name

Last Name*
Sixth Clients Date of Birth*
Seventh Clients Name

First Name*

Middle Name

Last Name*
Seventh Clients Date of Birth*
Eighth Clients Name

First Name*

Middle Name

Last Name*
Eighth Clients Date of Birth*
Ninth Clients Name

First Name*

Middle Name

Last Name*
Ninth Clients Date of Birth*
Tenth Clients Name

First Name*

Middle Name

Last Name*
Tenth Clients Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
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.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
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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