lashes extension & lash lift & tint
consent form
CLIENT INFORMATION
Full Name: _______________________________
Date of Birth: ____ / ____ / ______
Phone Number: ___________________________
Email: ___________________________________
Emergency Contact Name & Phone: ___________________________
MEDICAL HISTORY & CONTRAINDICATIONS
Please check any that apply:
⬜ Eye infections or conditions (e.g., conjunctivitis, styes)
⬜ Allergies to adhesives, latex, or cyanoacrylate
⬜ Skin sensitivities or reactions to beauty products
⬜ Recent eye surgery, chemotherapy, or medical treatments
⬜ Blepharitis or other eye-related conditions
⬜ Use of oil-based skincare or makeup around the eyes
⬜ Pregnancy or nursing (may cause increased sensitivity)
⬜ Other relevant medical conditions: ________________________
CONSENT & WAIVER
For Eyelash Extensions:
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Procedure & Risks: Eyelash extensions involve the application of synthetic lashes using a professional-grade adhesive. While every precaution is taken, there is a risk of irritation, allergic reaction, or eye sensitivity.
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Aftercare Responsibility: I will follow the recommended aftercare, including avoiding water, steam, and oil-based products for at least 24 hours after the procedure to maintain lash retention.
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Retention & Guarantee: Jubilee Lashes & Beauty guarantees quality service, but natural lash shedding and improper aftercare may affect longevity. If excessive shedding occurs within 48 hours, I may request a complimentary fix.
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Lash Health & Removal: Extensions should be professionally removed to prevent damage to natural lashes. Jubilee Lashes & Beauty is not responsible for any damage caused by at-home removal.
For Lash Lift & Tint:
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Procedure & Risks: A lash lift involves a chemical process to enhance the curl of natural lashes, and a tint is applied to darken them. While safe, there is a risk of irritation or sensitivity.
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Aftercare Responsibility: I will avoid water, steam, mascara, and rubbing my lashes for at least 24 hours to ensure the best results.
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Longevity & Touch-Ups: Lash lifts typically last 6-8 weeks, and results may vary based on lash growth cycles and aftercare.
General Terms:
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Allergic Reactions: If I have a known sensitivity to adhesives or chemicals used in these treatments, I understand that Jubilee Lashes & Beauty is not responsible for medical costs or compensation. A patch test is available upon request.
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No Refund Policy: I acknowledge that all payments for services are non-refundable, regardless of dissatisfaction, allergic reactions, or retention issues.
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Photography & Marketing (Optional): I consent to before-and-after photos being taken for promotional purposes. (⬜ Yes / ⬜ No)
CLIENT SIGNATURE
I confirm that I have read and understand this consent form.
I release Jubilee Lashes & Beauty from any liability resulting from this service.
Client Signature: _________________________
Date: ____ / ____ / ______
Technician Name: _________________________
Technician Signature: ______________________
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aftercare
### **EYELASH EXTENSIONS AFTERCARE**
To maintain beautiful, long-lasting lash extensions, follow these guidelines:
#### **First 24-48 Hours:**
✅ Avoid water, steam, sweat, and humidity (no showers, saunas, swimming, or facials).
✅ Do not rub, pull, or touch your lashes unnecessarily.
✅ Avoid eye makeup, especially mascara and eyeliner.
✅ Keep your face away from direct heat (ovens, blow dryers, etc.).
#### **Ongoing Maintenance:**
✅ Use only **oil-free** cleansers and makeup removers.
✅ Brush your lashes gently with a clean spoolie daily.
✅ Avoid sleeping face-down to prevent crushing your lashes.
✅ Do not use eyelash curlers—they can damage both the extensions and natural lashes.
✅ Get refills every **2-3 weeks** to maintain fullness.
✅ Avoid picking or pulling at extensions to prevent natural lash damage.
#### **What to Avoid:**
❌ Oil-based skincare or makeup products around the eyes.
❌ Waterproof mascara or eyeliner.
❌ Excessive rubbing or touching your lashes.
❌ DIY removal—schedule a professional removal if needed.
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### **LASH LIFT & TINT AFTERCARE**
To ensure long-lasting results, follow these care tips:
#### **First 24-48 Hours:**
✅ Keep lashes dry—avoid water, steam, and sweat.
✅ Do not rub, pull, or touch your lashes.
✅ Avoid makeup, mascara, and eye creams.
✅ Sleep on your back to prevent lashes from bending.
#### **Ongoing Maintenance:**
✅ Use only gentle, oil-free cleansers around your eyes.
✅ Avoid waterproof mascara, as it can weaken the lift.
✅ Keep lashes hydrated with a nourishing lash serum or conditioner.
✅ Avoid excessive exposure to heat and humidity.
✅ Results typically last **6-8 weeks**—schedule touch-ups as needed.
#### **What to Avoid:**
❌ Sleeping on your face or pressing your lashes against a pillow.
❌ Excessive exposure to chlorine (pools) or saltwater.
❌ Using lash curlers—your lashes are already lifted!
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