I am able to lay on my back for 1 - 2 hours

Yes No

Are you pregnant or planning to be

Yes No

Do you wear contact lenses

Yes No

Will you remove them

Yes No

I understand that eyelash extensions require ongoing maintenance (similar to a nail rebase) and that Refill fees are based on time and I or the number of extensions that need to be replaced at the refill Appointments If I wait too long between Refills, I may need to pay for a new full set. If I no longer wish To wear the eyelash extensions, my technician will remove them and I will not try to remove them Myself and there may be a f. for removal of the eyelash extensions.

I will seek medical care (at my own expense) and contact Lavish Lashes Studio immediately if any allergic or adverse reaction occurs. All of my questions were answered and I understand the procedure and Risks.

I grant permission to use my before and after photos for marlreting or examples of my technicians work. (Before and after photos are a permanent part of the Technician's records. You may opt out of Marketing purposes)

I release Lavish Lashes Studio from any and aft liability associated with this procedure (which will be Performed with the utmost attention to safety and proper application using tools and products that the Technician has been trained to use. This procedure has many variables due to lifestyle, moisture, Weather, extreme temperatures, natural eyelash shedding, and other factors Thc Technician will assess And decide if I am a candidate for this service to the best of their ability. No guarantees are made or Implied.

By signing below, I verify that I have read and understand the above statements and agree to tem. I also read and initialed the space above.