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kanataWaiver
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kanataWaiver
[Kanata] Waiver
BEAUTY TIME – EYELASH STUDIO CLIENT WAIVER & RELEASE OF LIABILITY
For Eyelash Extension Application with Pre-Existing or Abnormal Eye Conditions
Client name
(Required)
First
Last
technician name
(Required)
First
Last
At Beauty Time – Eyelash Studio, the health and safety of our clients are our top priority. Eyelash extension procedures involve the use of adhesives and tools in close proximity to the eyes. Clients with pre-existing or abnormal eye conditions may face an increased risk of irritation, reaction, or other complications.
If you have disclosed an eye condition and choose to proceed with the eyelash extension service, we kindly ask that you read and sign the following waiver, which is intended to protect both you as the client and our studio and staff.
1 Voluntary Assumption of Risk
(Required)
I understand that receiving eyelash extensions while experiencing a pre-existing or abnormal eye condition may increase the risk of adverse reactions or complications. I am voluntarily choosing to proceed with the service despite these risks.
I agree
2 Disclosure of Eye Condition
(Required)
I confirm that I have fully informed the technician and/or staff of Beauty Time – Eyelash Studio of any current eye conditions, which may include but are not limited to the following:
Eye infection
Eye sensitivity or allergies
Eye redness
Styes or swelling
Dry eye
Recent eye surgery or medical treatments
Select All
other condition (if applicable)
3 Acknowledgment of Potential Complications
(Required)
I understand and accept that proceeding with eyelash extensions under these conditions may result in temporary or permanent side effects, such as redness, irritation, discomfort, allergic reactions, or infection.
I agree
4 Limitation of Liability
(Required)
I hereby release and hold harmless Beauty Time – Eyelash Studio, including its owners, employees, and technicians, from any and all liability, claims, demands, damages, or causes of action that may arise from or relate to the eyelash extension service provided under the disclosed circumstances.
I agree
5 No Warranty or Guarantee
(Required)
I understand that results may vary and that Beauty Time – Eyelash Studio makes no guarantees regarding the outcome, longevity, or condition of the extensions due to my disclosed condition.
I agree
Client Signature
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technician signature
(Required)
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Date
(Required)
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Date
(Required)
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