Liability Waivers For Eyelash Extensions, Lash Lifts and Brow Laminations

Prior to your appointment date you will need to fill out the Liability Waiver that coordinates with your particular service.

Liability Waivers will only need to be filled out one time. After they are filled out once they will protect and cover any future appointment dates after the waiver's signed date.

All waivers are found on this page and are labeled by Waiver name. Scroll down to view all of the waivers.

Below is a guide:

Eyelash Extension Services (Fills, Full Sets and Removals) = Eyelash Extension Liability Waiver

Lash Lift Services = Lash Lift Liability Waiver

Brow Lamination Services = Brow Lamination Liability Waiver

If you are confused and need help please do not hesitate to email support@lashleysco.com

Xoxo,

Ashley Bryan

Founder and CEO

Eyelash Extension Waiver

I understand that if I have any concerns, I will address these with my lash extension specialist. I give permission to my lash extension specialist to perform the lash extension procedure we have discussed, and will hold him/her and his/her staff harmless and nameless from any liability that may result from this treatment. I have accurately answered the questions above, including all known allergies, prescription drugs, or products I am currently ingesting or using topically. I understand my lash extension specialist will take every precaution to minimize or eliminate negative reactions as much as possible. In the event I may have additional questions or concerns regarding my treatment, I will consult the lash extension specialist immediately. I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I certify that I have read, and fully understand, the above paragraphs and that I have had sufficient opportunity for discussion to have any questions answered. I understand the procedure and accept the risks. I do not hold the lash extension specialist or Lashleys.Co responsible for any of my conditions that were present, but not disclosed at the time of this procedure, which may be affected by the treatment performed today. This agreement will remain in effect for the procedure and all future procedures conducted by my technician. ALL FIELDS IN THE WAIVER MUST BE FILLED BEFORE SUBMISSION.

Fist Name*

Last Name*

Birthdate*

Phone Number*

Email *

Street Address*

City*

State*

Zip Code*

Is this your first time having lash extensions?*

If no, why did you remove them?*

List any medications/antibiotics including supplements that you are currently using:*

Do you have any allergies?*

If yes, please list all allergies:*

Are you under the age of 18?*

I understand there are risks associated with having artificial eyelashes applied to/removed from my natural eyelashes.*

I Agree

I do not Agree

I understand that the eyelash extensions will be applied to the natural eyelash as determined by the technician so as not to create excessive weight on the natural eyelash thereby preserving the health, growth and natural look of my natural eyelashes.*

I Agree

I do not Agree

I understand as part of the procedure eye irritation, eye pain, eye itching, discomfort and in rare cases eye infection may occur.*

I Agree

I do not Agree

I understand and agree that if I experience any of these issues with my lashes that I will contact my technician and have the eyelashes removed immediately and consult a physician at my own expense.*

I Agree

I do not Agree

I understand and agree to follow the after care instructions provided by my technician. Failure to follow the after care instructions can cause the eyelash extensions to fall out.*

I Agree

I do not Agree

I understand that in order to have the eyelash extensions applied to my eyelashes, I will need to keep my eyes closed for the duration of 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 I will not be able to have the procedure performed on my eyes.*

I Agree

I do not Agree

I understand that additional conditions could occur or be discovered during the procedure which could affect my ability to tolerate the procedure.*

I Agree

I do not Agree

I understand that all service, plan, product payments and deposits are non-refundable.*

I Agree

I do not Agree

I understand that my lash extension specialist and Lashleys.Co have the right to deny service to any client.*

I Agree

I do not Agree

I consent to “before and after” photographs for the purpose of documentation, potential advertising and promotional purposes.*

I Agree

I do not Agree

I understand that even though the technician may apply and remove the eyelashes properly, that adhesive materials may become dislodged during or after the procedure, which may irritate my eyes or require further follow up care.*

I Agree

I do not Agree

Client Signature*

Date of Contract Signing*

Parent Signature*

Date of Contract Signing*

Eyelash Specialist Full Name*

Ashley Bryan (Owner and Founder of Lashleys.Co LLC)

Other

Lash Lift Waiver

I authorize Lashleys.Co LLC., hereinafter collectively referred to as my “technician” to perform the eyelash “Lash Lift” procedure. I understand it is my responsibility to remain still during the application and to keep my eyes closed during the entire process until otherwise advised. I acknowledge that my technician has explained to me the methods and procedures concerning the eyelash “Lash Lift” and that there are certain complications and risks inherent in the process. These risks may include, but are limited to, eye irritation, eye itching, discomfort, and allergic reaction to the adhesive, under-eye patches and other products. I hereby consent to the procedure at my own risk. If at any time I am uncomfortable with the eyelash “Lash Lift” procedure, I will inform my technician and she/he will use good faith efforts to rectify the problem, including ending the session if I (or my technician) wish. If my technician is uncomfortable doing the eyelash “Lash Lift” procedure to me, she/he will discuss his/her concerns with me and may end the session if necessary. I acknowledge that I have received no guarantees, warrantees, promises, and/or commitments regarding the application process or the products used or applied therein or other statements as to the results of this service. I have revealed or disclosed on the Lash Lift Waiver and Release Form and/or to my technician all conditions and circumstances regarding my health and health history, and any past reactions to product use or medications taken. Additional conditions could occur or be discovered during or after the procedure, which could affect my ability to tolerate the procedure. I, THE UNDERSIGNED, HEREBY FULLY RELEASE, WAIVE, COVENANT NOT TO SUE, AGREE TO HOLD HARMLESS, AND FOREVER DISCHARGE my technician, Lashleys.Co LLC., their affiliates, agents employees, officers, directors, independent contractors, and any and all partnerships, corporations, or companies associated with them, from any and all liabilities, demands, claims, losses, injuries, or damages, including court cases and attorney’s fees and expenses, of any nature arising out of or relating to the eyelash “Lash Lift” procedure, EVEN THOUGH CAUSED IN WHOLE OR IN PART BY A PRE-EXISTING DEFECT, THE NEGLIGENCE (WHETHER SOLE, JOINT, OR CONCURRENT), GROSS NEGLIGENCE, STRICT LIABILITY OR OTHER LEGAL FAULT OF MY TECHNICIAN, LASHLEYS.CO LLC. IT IS MY EXPRESS INTENT THAT THE ABOVE RELEASE INCLUDES THE RELEASE OF MY TECHNICIAN, LASHLEYS.CO LLC. (INCLUDING THE INDIVIDUALS AND ENTITIES LISTED ABOVE) FROM THE CONSEQUENCES OF THEIR OWN NEGLIGENCE. It is also my express intent that this Waiver and Release Form shall bind the members of my family and spouse, if I am alive, and my heirs, assigns and personal representatives, if I am deceased, and shall be governed by the laws of the State of California. I further agree that, should I choose to seek the advice of an attorney regarding said release, I will be responsible for any and all costs of legal services that I incur. I agree that this release shall be in contemplation for any possible damages, either known or unknown at the signing of this waiver and release form, and said damages are specifically waived following the signing of this waiver and release form. I further agree that on the event that any dispute that arises out of or relating to the eyelash “Lash Lift” procedure and/or terms of this Waiver & Release between me, or anyone acting on my behalf, my technician and/or anyone affiliated with my technician shall be resolved by binding arbitration before the American Arbitration Association. The exclusive venue for arbitration against my technician shall be the city and state in which the technician resides at the time the arbitration is initiated; provided, however, that the arbitration should be initiated against Lashleys.Co LLC., in addition to or exclusive of my technician, the exclusive venue for such arbitration shall be in Danville, Contra Costa County, California. I agree that I will be responsible for and will pay all court costs, arbitration costs, attorney’s fees and expenses, and other associated costs incurred by my technician, Lashleys.Co LLC. in seeking enforcement of this Waiver & Release. I further release my technician from any responsibility for pre-existing conditions I have not revealed, or any consequential change to those conditions that arises subsequent to the procedure. I understand that I am responsible for any medical treatment I may need to receive as a result of getting this procedure. I accept full responsibility for these and any other complications, which may arise or result during or following the eyelash “Lash Lift” procedure(s), which are to be performed at my request. I, the undersigned client, certify that I have read and had explained to me and fully understand the above waiver and release form and I am signing it voluntarily as my own free act and deed. I certify that I have consulted with a technician and have read all applicable literature given to me. I have completed the Lash Lift Waiver and Release Form to the best of my knowledge. I accept the explanation of potential complications and risks described herein. I certify I am of sound mind and I am fully capable of executing this waiver and release form for myself. No oral representations, statements, or inducements apart from the foregoing agreement that has been reduced to writing have been made. I, the undersigned client, acknowledge and fully understand that there might be other known risks not reasonable foreseeable at this time. I, undersigned client, acknowledge that I have read and agree to the provisions, terms, and conditions provided in the Lashleys.Co LLC. Waiver and Release Form. I agree to assume all risk of injury associated with the eye lash lash lift procedure, and agreed to hold harmless the technician and/or anyone affiliated with said professional including, but not limited to, Lashleys.Co LLC. ALL FIELDS IN THE WAIVER MUST BE FILLED BEFORE SUBMISSION.

First Name*

Last Name*

Birthdate*

Phone Number*

Email*

Street Address*

City*

State*

Zip Code*

Is this your first time having a Lash Lift?*

If this is not your first time getting a Lash Lift, please specify the last time you got a Lash Lift:*

List any medications/antibiotics including supplements that you are currently using:*

Do you have any allergies?*

If yes, please list all allergies:*

Are you under the age of 18?*

I understand there are risks associated with getting a lash lift/reversal. I further understand that as part of the procedure, eye irritation, eye itching, discomfort, and in rare cases allergic reaction or infection may occur. I agree that if at any time, I am uncomfortable with the treatment, I will inform the technician and they will gladly rectify the problem, including ending the session.*

I Agree

I do not Agree

I understand and consent to having my eyes closed and covered for the duration of the procedure.*

I Agree

I do not Agree

My eyelashes are clean, and free of mascara, make up, oil and product residue. If you attended your appointment without proper preparation, we cannot guarantee satisfactory results.*

I Agree

I do not Agree

Everyone’s lashes are unique and require slightly different processing times and/or curling rod sizes based on coarseness, density, and/or eye shape. If desired results are not achieved, processing times will be adjusted for future lifts. Because RESULTS VARY and are NOT GUARANTEED, I understand that a refund will not be issued if results are not desired. If for any reason there is an issue that was caused on the technician’s behalf, I understand I have three days from the original appointment date to schedule another appointment to fix any issues, which will be free of charge.*

I Agree

I do not Agree

On average, a lash lift lasts 4 to 6 weeks. High temperatures, make-up, sleeping positions, and skin care products are just a few things that can affect the outcome and length of time my lash lift will last. I understand there are no guarantees for the length of time my lash lift will last.*

I Agree

I do not Agree

I understand that all service, plan, product payments and deposits are non-refundable.*

I Agree

I do not Agree

I understand that this agreement will remain in effect for this procedure and all future lash lift procedures conducted by my technician or any other technician conducting business at Lashleys.Co LLC.*

I Agree

I do not Agree

Client Signature*

Date of Contract Signing*

Parent Signature*

Date of Contract Signing*

Eyelash Specialist Full Name*

Ashley Bryan (Owner and Founder of Lashleys.Co LLC)

Other

Brow Lamination Waiver

I authorize Lashleys.Co LLC., hereinafter collectively referred to as my “technician” to perform the eyebrow “Brow Lamination” procedure. I understand it is my responsibility to remain still during the application and to keep my eyes closed during the entire process until otherwise advised. I acknowledge that my technician has explained to me the methods and procedures concerning the eyebrow “Brow Lamination” and that there are certain complications and risks inherent in the process. These risks may include, but are limited to, eye irritation, eye itching, discomfort, and allergic reaction to the adhesive, under-eye patches and other products. I hereby consent to the procedure at my own risk. If at any time I am uncomfortable with the eyebrow “Brow Lamination” procedure, I will inform my technician and she/he will use good faith efforts to rectify the problem, including ending the session if I (or my technician) wish. If my technician is uncomfortable doing the eyebrow “Brow Lamination” procedure to me, she/he will discuss his/her concerns with me and may end the session if necessary. I acknowledge that I have received no guarantees, warrantees, promises, and/or commitments regarding the application process or the products used or applied therein or other statements as to the results of this service. I have revealed or disclosed on the Brow Lamination Waiver and Release Form and/or to my technician all conditions and circumstances regarding my health and health history, and any past reactions to product use or medications taken. Additional conditions could occur or be discovered during or after the procedure, which could affect my ability to tolerate the procedure. I, THE UNDERSIGNED, HEREBY FULLY RELEASE, WAIVE, COVENANT NOT TO SUE, AGREE TO HOLD HARMLESS, AND FOREVER DISCHARGE my technician, Lashleys.Co LLC., their affiliates, agents employees, officers, directors, independent contractors, and any and all partnerships, corporations, or companies associated with them, from any and all liabilities, demands, claims, losses, injuries, or damages, including court cases and attorney’s fees and expenses, of any nature arising out of or relating to the eyebrow “Brow Lamination” procedure, EVEN THOUGH CAUSED IN WHOLE OR IN PART BY A PRE-EXISTING DEFECT, THE NEGLIGENCE (WHETHER SOLE, JOINT, OR CONCURRENT), GROSS NEGLIGENCE, STRICT LIABILITY OR OTHER LEGAL FAULT OF MY TECHNICIAN, LASHLEYS.CO LLC. IT IS MY EXPRESS INTENT THAT THE ABOVE RELEASE INCLUDES THE RELEASE OF MY TECHNICIAN, LASHLEYS.CO LLC. (INCLUDING THE INDIVIDUALS AND ENTITIES LISTED ABOVE) FROM THE CONSEQUENCES OF THEIR OWN NEGLIGENCE. It is also my express intent that this Waiver and Release Form shall bind the members of my family and spouse, if I am alive, and my heirs, assigns and personal representatives, if I am deceased, and shall be governed by the laws of the State of California. I further agree that, should I choose to seek the advice of an attorney regarding said release, I will be responsible for any and all costs of legal services that I incur. I agree that this release shall be in contemplation for any possible damages, either known or unknown at the signing of this waiver and release form, and said damages are specifically waived following the signing of this waiver and release form. I further agree that on the event that any dispute that arises out of or relating to the eyebrow “Brow Lamination” procedure and/or terms of this Waiver & Release between me, or anyone acting on my behalf, my technician and/or anyone affiliated with my technician shall be resolved by binding arbitration before the American Arbitration Association. The exclusive venue for arbitration against my technician shall be the city and state in which the technician resides at the time the arbitration is initiated; provided, however, that the arbitration should be initiated against Lashleys.Co LLC., in addition to or exclusive of my technician, the exclusive venue for such arbitration shall be in Danville, Contra Costa County, California. I agree that I will be responsible for and will pay all court costs, arbitration costs, attorney’s fees and expenses, and other associated costs incurred by my technician, Lashleys.Co LLC. in seeking enforcement of this Waiver & Release. I further release my technician from any responsibility for pre-existing conditions I have not revealed, or any consequential change to those conditions that arises subsequent to the procedure. I understand that I am responsible for any medical treatment I may need to receive as a result of getting this procedure. I accept full responsibility for these and any other complications, which may arise or result during or following the eyebrow “Brow Lamination” procedure(s), which are to be performed at my request. I, the undersigned client, certify that I have read and had explained to me and fully understand the above waiver and release form and I am signing it voluntarily as my own free act and deed. I certify that I have consulted with a technician and have read all applicable literature given to me. I have completed the Brow Lamination Waiver and Release Form to the best of my knowledge. I accept the explanation of potential complications and risks described herein. I certify I am of sound mind and I am fully capable of executing this waiver and release form for myself. No oral representations, statements, or inducements apart from the foregoing agreement that has been reduced to writing have been made. I, the undersigned client, acknowledge and fully understand that there might be other known risks not reasonable foreseeable at this time. I, undersigned client, acknowledge that I have read and agree to the provisions, terms, and conditions provided in the Lashleys.Co LLC. Waiver and Release Form. I agree to assume all risk of injury associated with the eyebrow brow lamination procedure, and agreed to hold harmless the technician and/or anyone affiliated with said professional including, but not limited to, Lashleys.Co LLC. ALL FIELDS IN THE WAIVER MUST BE FILLED BEFORE SUBMISSION.

First Name*

Last Name*

Birthdate*

Phone Number*

Email*

Street Address*

City*

State*

Zip Code*

Is this your first time having brow lamination?*

List any medications/antibiotics including supplements that you are currently using:*

Custom Field

Do you have any allergies?*

If yes, please list all allergies:*

Are you under the age of 18?*

I understand there are risks associated with getting brow lamination. I further understand that as part of the procedure, eye irritation, eye itching, discomfort, and in rare cases allergic reaction or infection may occur. I agree that if at any time, I am uncomfortable with the treatment, I will inform the technician and they will gladly rectify the problem, including ending the session.*

I Agree

I do not Agree

I understand and consent to having my eyes closed and covered for the duration of the procedure.*

I Agree

I do not Agree

My eyebrows are clean, and free of make-up, oil and product residue. If you attended your appointment without proper preparation, we cannot guarantee satisfactory results.*

I Agree

I do not Agree

Everyone’s eyebrows are unique and require slightly different processing times based on coarseness, density, and/or eyebrow shape. If desired results are not achieved, processing times will be adjusted for future brow laminations. Because RESULTS VARY and are NOT GUARANTEED, I understand that a refund will not be issued if results are not desired. If for any reason there is an issue that was caused on the technician’s behalf, I understand I have three days from the original appointment date to schedule another appointment to fix any issues, which will be free of charge.*

I Agree

I do not Agree

On average, a brow lamination lasts 6 to 8 weeks. High temperatures, make up, sleeping positions, and skin care products are just a few things that can affect the outcome and length of time my brow lamination will last. I understand there are no guarantees for the length of time my brow lamination will last.*

I Agree

I do not Agree

I understand that all service, plan, and product payments and deposits are non-refundable.*

I Agree

I do not Agree

I understand that this agreement will remain in effect for this procedure and all future brow lamination procedures conducted by my technician or any other technician conducting business at Lashleys.Co LLC.*

I Agree

I do not Agree

Client Signature*

Date of Contract Signing*

Parent Signature*

Date of Contract Signing*

Eyelash Specialist Full Name*

Ashley Bryan (Owner and Founder of Lashleys.Co LLC)

Other