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I authorize Alumbra Cosmetics artists and owner, hereinafter collectively referred to as my artist, to perform semi permanent eyelash extension procedures.
*Please review terms and conditions below.
-No additional parties are allowed during the service unless with due permission and consideration.
-Deposits and service charges are non- refundable due to the nature of the service and product. If you are not satisfied with your lash service, please communicate within 48 hours of your lash appointment for a free of charge service fix.
-During the consultation at the appointment, I expect honesty regarding allergies and product sensitivity so I can best service you and tailor the products to your needs. If (you) the client provides false statements or any information that is not true per their health status in order to receive services; I will not be held responsible for any reactions to any of the products used.
You are subject to the no- show/ late cancellation policy.
*You will not be charged if you cancel at least 24 hours before your appointment starts. Otherwise, you will be charged 100% of the service price for late cancellations and no shows. Appointments are automatically cancelled and charged if you are 20 minutes late beyond the appointment time.
I understand this procedure requires individual synthetic, faux and mink eyelashes to be glued to my own natural lashes. 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 artist has explained to me the methods and procedures concerning the application of semi permanent eyelash extension application and that there are certain complications and risks inherent both in the application process and in wearing semi permanent lashes. These risks may include, but are not limited to, temporary eyelash loss as a result of improper post application care, transient eye redness and irritation, and or an allergic reaction to the adhesive, under eye patches and or other products used during the procedure. I hereby consent to the procedure at my own risk. If at anytime I am uncomfortable with the eyelash extension procedure, I will inform my artist and she will use good faith efforts to rectify the problem, including ending the session if I or my artist wish. If my artist is uncomfortable applying lashes to me, she will discuss her concerns with me and may end the session if necessary. I acknowledge that I have received no guarantees, warranties, 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 and or disclosed to my lash artist all conditions and circumstances regarding my health and health history, medications being taken and any past reactions to products used 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 understand that the duration of my eyelash extensions requires my careful maintenance. I understand that it may take up to 24 hours for the adhesive to cure thoroughly and avoiding contact with direct excessive moisture for longer than a minute within the initial 24 hours post application, i.e. water, sweat, steam or tears to eliminate the risk of interference with this curing process, which may result in a weaker bond, premature lash extension loss, and or irritation. I also understand after the first 24 hours post application, if I participate in any of the following or any other activities that may interfere with the lashes I may experience premature loss of the lash extensions, i.e. excessive swimming, sauna use, steam rooms, and or pulling on lashes, using oil based or waterproof cosmetics, and or using mechanical curlers or crimping lashes in any way. I understand that failure to follow these instructions may cause irritation, reaction, eyelash loss, and other side effects described in this form. I understand that the eyelash extension application risks and the post application care and maintenance described herein apply equally to initial eyelash and subsequent touch up applications.
I, THE UNDERSIGNED, HEREBY FULLY RELEASE, WAIVE, COVENANT NOT TO SUE, AGREE TO HOLD HARMLESS, AND FOREVER DISCHARGE my artist and the owner at Alumbra Cosmetics from any and all liabilities, demands, claims, losses, injuries, or damages, including court costs and attorneys fees and expenses, of any kind arising out of, or relating to, the application of semi permanent eyelash extension products, EVEN IF, 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 ARTIST. IT IS MY EXPRESS INTENT THAT THE ABOVE RELEASE INCLUDES THE RELEASE OF MY ARTIST 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 North Carolina. 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 of 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 in the event that any dispute that arises out of, or relating to, the application of semi permanent eyelash extension products and or terms of this Waiver & Release between me, or anyone acting on my behalf, my artist and or anyone affiliated with my artist shall be resolved by binding arbitration before the American Arbitration Association. The exclusive venue for arbitration against my artist shall be the city and state in which the artist resides at the time the arbitration is initiated. I agree that I will be responsible for and will pay all court costs, arbitration costs, attorney fees and expenses, and other associated costs incurred by my artist and owner, in seeking enforcement of this Waiver & Release. I further release my artist and owner 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 extension procedures, which are to be performed at my request.
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
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