Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Kindly read the following information below and sign to acknowledge it *

I agree to have eyelash extensions applied to my natural eyelashes and / or removed and retouched. By signing this agreement, I consent to the placement and / or removal of the eyelash extensions by the certified eyelash extension professional.

I acknowledge that I’ve been informed of potentially harmful or negative side effects that may be caused by the application or removal of eyelash extensions and hereby fully release, agree to hold harmless and forever discharge the Lash Technician from all liability, demands, or claims associated with this procedure. Risks of this procedure may result in, but not limited to, eye redness and irritation. Products used during this procedure may release fumes and can cause eyes to water. If any unusual symptoms, injury or allergy is suspected, all future appointments will cease until cleared by your physician.

I understand and agree to the after-care instructions provided by the certified eyelash extension professional for the use and care of my eyelash extensions. I realize and accept the consequences of failure to adhere to these instructions may cause the eyelash extensions to fall our and / or decrease the time the lashes will last.

I understand that there will be no refunds, no exceptions.

This agreement will remain in effect for this procedure and all future follow-ups conducted by the certified eyelash extension professional. I read English and understand this consent agreement is legal and binding. I have read and fully understand all information in this agreement. I am / or over 18 years of age and consent to the agreement and to the eyelash extension application procedure. I herby release all persons representing this business from all claims, demands, damages, actions, and causes of action arising out of the performance of the service.

I give content for photographs and videos to be taken of the lashes and used for marketing purposes.

Fill prices are based on a 50% requirement. Anything less than 50% or after 30 days since last service, will require a full set. Refill pricing on work done elsewhere is calculated and based on consultation. Removal may be required.

If I need to cancel any of my appointments, I will inform you ASAP. I will forfeit my deposit if I give less than a 24-hr. notice, and/or agree to pay a rescheduling fee ($50). Arriving late will reduce the time of service. If I am more than 15 minutes late, I understand my appointment may need to be rescheduled and will be subject to the no-show fee above.

I agree to show up to my appointment without any eye makeup. If I show up with makeup, it will need to be removed (lash bath cleansing fee $15). Extension application time may be reduced due to time spent on removing makeup.

I understand Marz Beauty reserves the right to refuse service to anyone at any time for any reason.

I certify that I completely understand and comply with the above stated.

By checking this box, I agree to signing this consent form, I acknowledge and agree to the terms indicated above: