Lash Extension
Consent Form

I am at least 18 years of age

I understand that this procedure requires single synthetic eyelashes to be glued to my own natural eyelashes.

I understand that it is my responsibility to keep my eyes closed & be still during the entire procedure, until my eyelash technician directs me to open my eyes.

I understand that some risks of this procedure may be, but not limited to, eye redness and irritation. The fumes from the adhesive may cause my eyes to tear up if I open my eyes.

I agree to disclose any allergies that I may have to surgical tapes, cyanaocrylate, and other acrylates, etc.

I understand that I am required to follow the eyelash technician aftercare sheet (below) in order to maintain the life of these extensions.

I agree to wait a minimum of 24 hours before getting my lash extensions wet to allow glue to properly cure.

I agree that by reading and signing this consent form I release the lash technician and Beauty Kulture Studio & Academy from any claims or damages of any nature.

I agree that I read and fully understand this entire consent form.

I give permission to show my before and after photos of my lash extensions to other potential clients, or use for marketing purposes.

I have read & understand the Eyelash Extension Aftercare sheet & the Eyelash Extensions Intake & Consent form in its entirety. I have given permission to all checked statements & have answered everything to the best of my ability. I have been informed of potentially harmful or negative side effects that may be caused by the application and/or removal of eyelash extensions. I understand & agree that if I have any concerns, I will address these with my lash artist. I confirm & agree that I wish to engage the services to apply eyelash extensions.