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Eyelash Lift and/or Tint Client Form

Name:__________________________________________________

• I authorize a Bella Style Salon service provider to perform the Lash Lift and Tint procedure.                                    

• I understand that the lashes will be curled with an advanced solution and a conditioning cream.

• I understand it is my responsibility to be still during the procedure and to keep my eyes closed during the process unless otherwise advised.

• I understand that in some cases there may be complications such as eye redness, irritation, and allergic reaction to the products used to lift the lashes and understand the risk of the cosmetic treatment I have chosen.

• I understand that if at any time I am uncomfortable with the Lash Lift treatment, I will inform the technician and she will gladly rectify the problem, including ending the session.

• I understand there are no guarantees, warranties, promises, commitment, or refunds and acknowledge that I have no particular representation or guarantees, and I am consenting to the Lash Lift at my own risk.                       
• I understand that all conditions must be revealed or disclosed by me to my service provider regarding health history, medications being taken, and any past reactions to products used.

• This agreement will remain in effect for this procedure and all future Lash Lift procedures conducted by my service provider or any other technician conducting business at this salon/spa listed below. I understand that this agreement is binding and that I have read and fully understand all information above. I represent that I am over the age of 18 years. If below 18 years of age a parent or guardian must also sign this form.

• By signing, I herein release , acquit, and discharge Bella Style Salon, and anyone affiliated with Bella Style Salon including any partnership, corporations, or company associated with said individual from any claims or damages of any nature.

I have read all the information provided:

         Please sign and date below the indicate that you have read all statements and understand: I, the client herein signed, certify that I have read and had explained to me and fully understand the above waiver and release form. I have provided information regarding my health and medications taken to the best of my knowledge, the client herein signed, for he purposed of documentation, hereby consent to any “before and after” photographs, which may to may not be used for the purposes of advertising.

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Signature                     Print                                   Date

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Parent/Guardian Signature         Print                                    Date