I authorize all Pampered Lash Bar & Spa Stylists to perform the semi-permanent eyelash extension procedure. I understand this procedure requires individual synthetic eyelashes to be adhered to my own natural lashes. I understand that it is my responsibility to remain still during the application and to keep my eyes closed during the entire process until otherwise advised. I have been fully informed as to the methods and procedures concerning the semi-permanent eyelash application. The known risks of the cosmetic procedure I have chosen have been disclosed to me. Some cases may result in complications, such as transient eye redness and irritation and allergic reaction to the adhesive, under eye gel patches or any other products used. If at any time I am uncomfortable with the eyelash extension procedure, I will inform the stylist and s/he will gladly rectify the problem, including ending the session if I (or the stylist) wish. If the stylist is uncomfortable applying lashes to me, s/he will discuss his/her concerns with me and may end the session if necessary. It has been represented to me that no guarantees, warranties, promises, commitments or other statements as to the results of this service have been made, and I acknowledge that I have received no particular representations or guarantees, and I am consenting to the procedure at my own risk. I have revealed and disclosed all conditions and circumstances regarding my health and any past reactions to products used or medications taken. Additional conditions may occur or be discovered during or after the procedure, which could affect my ability to tolerate the procedure.
I, as herein signed, release, give up, acquit, and discharge my Pampered Lash Bar & Spa Stylist from any claims or damages of any nature. I agree to pay any costs of legal services necessary to further effect or confirm said release. I further agree that this release shall be be in contemplation of any possible damages, either known or unknown at the signing of this Waiver and Release Form, and said damages are specifically waived following the signing of this Waiver and Release Form. I further agree that in the event any litigation ensues, it may be used in court for resolution. I agree that in the event a decision is determined in favour of one party over the other, the prevailing party shall be entitled to any reasonable attorney fees and costs as set by the arbitrator. I further agree to hold my Pampered Lash Bar Stylist from any responsibility for pre-existing conditions I have not revealed, or any consequential change to those conditions that arises subsequent to the procedure. I understand that I am responsible for any medical treatment I may need to receive as a result of getting this procedure. I accept full responsibility for these and any other complications, which may arise or result adoring or following the eyelash extension procedure(s) which are to be performed at my request.
Please read, check, sign, and date the statements below and on the following page to indicate that you have read, understand and accept the following statement:
I, as the name listed above, acknowledge that I have read and agree to the provisions, terms, and conditions provided in the Pampered Lash Bar & Spa Waiver and Release Form. I agree to assume all risks of injury associated with eyelash extension application, and agree to hold harmless the Pampered Lash Bar & Spa Stylist and/or anyone affiliated with said professional.