Eyelash Extension Liability Release Form

iGlow Beauty Bar

New Client Form

Before coming to your appointment:

● Do not apply face creams or sunblock in the eye area. The oil found in many cleansers and moisturizers prevents the eyelash adhesive from bonding to the natural eyelash and reduces the longevity of your eyelash extensions.

● Do not put on eye makeup (especially water proof mascara). Removing mascara can be very time consuming and any residual makeup will prevent proper application of the extensions. Use a mild, oil-free cleanser. Do not use oil-based makeup removers.

● Do not curl your lashes before your appointment. Extensions will not adhere to crimped eyelashes.

● Do not wear strip lashes (falsies) 7 days prior to your appointment.

● EYE INFECTION - In case you had some eye infection as STYE or PINKEYE in the past 2 weeks, please let us know because the service will NOT BE PROVIDED.

● The Check-in time is 10 minutes before your appointment on your first time.

Please leave your little kids and pets at home. Your service will take up to 1 hour and you will have your eyes closed the whole time. If your child creates a disturbance or distraction, we will terminate the service. Only service animals are allowed inside the studio.

Cancellation / Rescheduling Policy

If you must cancel or reschedule your appointment, please do so at least 24 HOURS (Full Set is 48 hours) before your appointment to avoid a cancellation fee. All appointment cancellations must be made and confirmed via telephone or text message. Appointment cancellations through email, Facebook, or Yelp are not accepted.

We strive to accommodate our clients to the best of our ability. All of our appointment confirmations are sent via text or email. Please honor your appointment. If you must cancel or reschedule, please do so at least 24 hours before your appointment to avoid a cancellation fee. If cancelling/rescheduling for individual or group appointments lasting more than 1 hour, please do so at least 48 hours before the scheduled appointment to avoid a cancellation fee.

●We save 60 minutes for this service, if you are more than 15 minutes late, we will have to reschedule your appointment for a fee of $25.

●A credit card is required to hold appointments at iGlow Beauty Bar. If you choose not to provide your credit card information, we will not hold your appointment.

●A fee of 50%of the service will be charged to the credit card on file for each appointment that is cancelled/rescheduled with less than 24 hours before the appointment.

●Clients who have previously no-showed for appointments will be asked to prepay 100% of the scheduled service when booking future appointments.

Informed Consent: Lash Extensions 

Although every precaution will be taken to ensure your safety and well being before, during and after your lash extension application, please be aware of the following information and possible risks.

I understand that a full set of lash extensions can make the appearance of my own lashes about 30-50% thicker, and make my lashes appear 20-50% longer.

I understand that lash extension services have some inherent risk of irritation to the orbital eye area, including the eye itself, and could result in stinging, burning, blurry vision and potential blindness should the adhesive enter the eye or should an allergic reaction occur.
I understand that some irritation, itching or burning may occur on the skin if the bonding agent comes into contact with it.  
I understand that if the bonding agent comes into contact with my eye, my eye will be washed with water and I will be assisted in seeking medical attention immediately.  

I understand that this is a semi-permanent procedure, as my natural lashes will continue to grow  and fall out normally, making touch-up or “ ll” appointments necessary to maintain the original look achieved by replacing the lashes that have fallen out. Most clients require a ll appointment every 2-3 weeks.  
I understand that while every attempt will be made to provide me with the length and fullness I have chosen, my final result may not be what I initially envisioned.  
I understand that it is imperative that I disclose all of the information requested in the Client Profile/Health History.  
I have cited all conditions and circumstances regarding my health history, medications being taken, and any past reactions to products or medications.  
I understand that additional conditions could occur or be discovered during the procedure which could affect my ability to tolerate the procedure.  
I consent to “before and after” photographs for the purpose of documentation, potential advertising and promotional purposes.

I understand I have up to 72 hours after my service to contact iGlow Beauty Bar in case I have lash retention issues to receive a fix free of charge. Passed 3 days of my service, any lash fix in are $35 (4-7 days). iGlow Beauty Bar does not offer lash fix after 7 days of services.

I understand that if I have any concerns, I will address these with my lash extension specialist. I give permission to my lash extension specialist to perform the lash extension procedure we have discussed, and will hold him/her and his/her staff harmless and nameless from any liability that may result from this treatment. I have accurately answered the questions above, including all known allergies, prescription drugs, or products I am currently ingesting or using topically.

I understand my lash extension specialist will take every precaution to minimize or eliminate negative reactions as much as possible. In the event I may have additional questions or concerns regarding my treatment, I will consult the lash extension specialist immediately.

I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures.

I certify that I have read, and fully understand, the above paragraphs and that I have had sufficient opportunity for discussion to have any questions answered.

I understand the procedure and accept the risks. I do not hold the lash extension specialist, whose signature appears below, responsible for any of my conditions that were present, but not disclosed at the time of this procedure, which may be affected by the treatment performed today.

If you have any questions, call us at (619) 931-9730.

We are here to help you!

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