Eyelash Consent Eyelash Extensions Client Information and Consent Form Today's Date Your Name Birth Date Phone Number Your email Referred By: Do You Have Allergies?NoYes Do You Have Sensitive Eyes?NoYes Disclaimer & Consent This procedure requires single synthetic eyelashes to be adhered to your own natural eyelashes. I understand that it is my responsibility to keep my eyes closed and stay still during the entire application process, until my technician addresses me to open my eyes. I understand that some of the risks involved with this procedure may be, but are not limited to eye redness, swelling, and/or irritation. I understand that the fumes from the adhesive may cause my eyes to water during the application process. I understand that I am required to follow the eyelash extension aftercare instructions in order to maintain the health of my natural lashes and the extensions. I understand and acknowledge that his consent & release discharges my eyelash technician from any liability or claim that I may have with respect to any bodily injury, personal injury, property damage or any other claim that may result from the service provider. Clear