eyeLash Waiver & Release Form

I understand that this procedure requires single mink blend eyelashes to be glued to my own natural eyelashes.
I understand that it is my responsibility to keep my eyes closed and be still during the entire procedure, until my eyelash technician addresses me to open my eyes.
I understand that some risks of this procedure may not be limited to eye redness and irritation. The fumes from the adhesive may cause my eyes to tear up if I open my eyes.
I agree to disclose any allergies that I may have to latex, surgical tapes, cyanoacrylate (found in household glues, Vaseline, etc.)
I understand that I am required to follow the eyelash extension after care instructions in order to maintain the life of these extensions.
I agree that by reading and signing this consent form, I release the lash artist from any claims or damages of any nature.
I agree that I read and fully understand this entire consent form.
I am of sound mind and fully capable of executing this waver for myself.
I give the lash artist permission to show my before and after photos of eyelashes to other potential clients.
I have read and completed the Client Registration form & Eyelash History form in its entirety/ and have answered everything to the best of my ability. I have been informed of potentially harmful or negative side effects that may be caused by the application and/or removal of Eyelash Extensions
I confirm and agree that I wish to engage the services of the lash artist to apply eyelash extensions.

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4351 MAIN Street, STE. 105 HARRISBURG, NC. 28075

we are located inside Natural bliss body studio, come on in! 

hours of operation 

   Sun/Mon/Tue               Wednesday - Friday                 Saturday               

                 Closed                                    11a-6 :00P                                9A-3P                       

3442 E. Broad Street Unit D Statesville, NC. 28625

we are located inside Beyond Beauty Studio, come on in! 

hours of operation 






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