The Lash Queen
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All new clients must read and complete this form.
at the bottom of the page when complete.
Please read and check each section.
...1. I understand that there are risks associated with getting a lash lift or having artificial eyelashes applied to and/or removed from my natural lashes.
...2. I understand that as part of the procedure eye irritation, pain, itching discomfort and in rare cases eye infection may occur.
...3. I understand that in order to have the eyelash extensions applied or to get a lash lift I will need to keep my eyes closed for duration of 60-120 minutes during the procedure. I also understand that I will need to be lying in a reclined position. Any medical conditions that might be aggravated by lying still for a prolonged period of time may mean that I will not be able to have the procedure performed on my eyes.
...4. I agree to disclose any allergies or medical conditions I have or may have that could affect getting extensions or a lift.
...5. I understand and agree that if I experience any of these negative issues with my lashes I will contact my technician and have the eyelash extensions removed immediately and consult a physician at my own expense.
...6. This agreement will remain in effect for this procedure and all future procedures conducted by my technician. I understand that this agreement is binding and that I have read and fully understand all information above.
...7. I agree that by reading and signing this consent form, I release Susana Carey of The Lash Queen from any claims or damages of any nature.
If you agree to all terms above, type AGREE in the white box below.
By signing below, I verify that I have read and understand the above statements and agree to them.
First and Last name. This serves as your online signature.
Please type any questions, concerns or comments below. Also, please disclose any medical conditions that may affect the procedure.
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For wedding or grad makeup services please contact me by phone, text or email to make special arrangements for after-hours.
37 Probe Street, Regina, Sk.
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