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I have agreed to have an esthetician at TreatLLC to apply eyelash extensions and if circumstances permit, have extensions removed from my natural eyelashes. Before my qualified professional may perform this procedure, I understand and agree to this agreement and provide my informed consent by signing and dating where indicated below. 

1. waiver of liability. I understand there are risks associated with having artificial eyelashes applied to and/or removed from my existing eyelashes, and that notwithstanding the utmost of care in the application or removal of these products, there are existing risks associated with the procedure and product itself, which include, without limitation; eye irritation, eye pain, discomfort, and in rare cases, loss of vision when improperly handled. As part of this procedure, I understand that a certain amount of eyelash adhesive material will be used to attach the artificial eyelash to my existing eyelashes. even though the professional may apply or remove my eyelash extensions properly, I understand  adhesive material may become dislodged during or after the prcedure, which may irriate my eyes or require further follow-up care at my own expense to prevent damage to my eyes. I also understand there is more than one technique for applying eyelash extension sto my eyelashes, and I will not attribute any liability to my independent eyelash professional as a result of this procedure or the use and care of these lashes. I also agree to defend, indemnify and hold harmless my eyelash professional from any and all claims, actions, expenses, damages and liabilities, including reasonable attorneys' fees, which might be asserted against them as a result of my having this procedure perfomred, or my pruchase of any eyelash extension products. 

2. care and maintenance. I agree to follow the care and maintenance instructions provided to me for the use and care of my eyelash extensions and that if any follow-up care is required due to my own mistake or negligence, or failure to follow these instructions, this will be at my own expense and risk. I understand that if i do any of the following, it may result in damge to my eyelashes or may cause my alshes to fall off prematurely. Knowing this, I agree to adhere to the following; I will avoid oil bases eye products as these will wealen the bond of my eyelash adhesive. I will avoid swimming, saunas, steam rooms or any form of moisture including perspiration. If I experience any itching or irritation I agree to contact my eyelash professional immediately to have the lash extensions removed. I agree to avoid using waterproof mascare and to not use a mechanical eyelash curler. 

This agreement will remian in effect for this procedure, and all future procedures conducted by my professional or any other professional conducting business at the salon/spa establisment listed above. 

I agree that this agreement is binding upon me, and my heirs, legal representatives and assigns. I represent that I am over 18 years of age and that I have the right to enter this agreetment, or if I am under 18 years of age, I have had my parent or legal guardian consent to this agreement and his or her relationship to me is as follow:         . By his or her signature below, he or she ratifies and consents to this procedure under these terms. 

 

I understand that this is a beauty service and there are no refunds. INITIAL 

 

First Clients Name

First Name*

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First Clients Date of Birth*
First Clients Signature*
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Tenth Clients Name

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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*

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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