Digital eyelash waiver acts as a bridge between customers and business owners.

Lash Lift & Tint Release Form 

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Please select at least one choice above.
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I authorize the Esthetician to perform the Lash Lift procedure. I understand the Lash Lift procedure is as follows:

  • Bottom lashes are covered withtape
  • Lashes are lifted on the shield withthe adhesive
  • Lashes arecleaned

  • EyeInfections/disorders
  • Allergy to     product
  • Hayfeversufferers/WateryEyes
  • Stye
  • Using prescribed medicated eyedrops
  • Medication - Thyroxin (in some cases can prevent lashes fromcurling)

If desired, a patch test of products used in this service can be scheduled a week prior to test for allergic reaction.

If at any time I (or the Esthetician) are uncomfortable with the Lash Lift procedure, I will inform the Esthetician and she will gladly rectify the problem, including ending the session if I (or the Esthetician) wishes. It has been represented to me that no guarantees, warranties, promises, commitments or other statements as to the results of this treatment have been made. I acknowledge that I have no particular representation or guarantees and I am consenting to the procedure at my own risk. All conditions must be revealed or disclosed by me to the Esthetician regarding my health history, medications being taken and any past reactions to products used or medications taken. Additional conditions could be discoveredduringtheprocedure,whichcouldaffectmyabilitytotoleratetheprocedure.

Due to the 2019-2020 outbreaks of the novel Coronavirus, COVID-19, we are taking extra precautions with the intake of each client, health history review, as well as the sanitation and disinfection practices. Please complete the following and sign below. 


Symptoms of COVID-19 include:

-Fever

-Fatigue

-Dry Cough

-Difficulty breathing

-I understand the above symptoms and affirm that I, as well as the household members, do not currently have, not have experienced the symptoms listed above in the last 14 days.

    -I affirm that I, as well as all household members, have not been diagnosed with COVID-19 within the last 30 days.
    -I affirm that I, as well as all household members, have not knowingly been exposed to anyone diagnosed with COVID-19 pithing the last 30 days.
    -I affirm that I, as well as all household member, have not traveled outside of the country to any city          outside of our own that is or have been considered a "hot spot" for COVID-19 infections within the last 30 days.
    -I understand that this business and my esthetician/ lash artist/ technician cannot be held liable for any exposure to the virus or any other contagion caused by misinformation on this form or the health history provided by each client.

    -If any of the above should arrive before any of my appointments with Curly Willow Spa I agree to disclose this information with Curly Willow Spa.



By signing below I agree to each above statement and release the technician and business from any and all liability for the unintentional exposure or harm due to COVID-19.


Your technician and all employees of this facility agree that they abide by these same standards and follow directed protocol from the local health department. We also affirm that we have improved and expanded our sanitation protocols to more thoroughly fight the spread of COVID-19 and other communicable conditions. 

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