Lash Extension Consent Form



I  understand that lash extensions will be applied to my natural eyelashes and/or removed and retouched.


I understand that in rare occasions there are risks associated with having artificial eyelashes and eyelash extensions applied to or removed from my natural eyelashes. I further understand that in rare cases as part of the procedure eye irritation and discomfort could occur. I agree that if I experience any of these conditions with my lashes that I will contact SOS WAX and Skincare and it may be beneficial to have the eyelashes removed.


I understand and agree to the after-care instructions provided by the esthetician for the use and care of my eyelash extensions. While I am not obligated to purchase products, I do understand that the products and protocol that the esthetician recommends will prolong the life of my eyelash extensions. I realize and accept the consequences of failure to adhere to these instructions may cause the eyelash extensions to fall out and/or decrease the time the lashes will last, this will be at my own expense.



I understand that with treatment certain risks are involved and that any complications or side effects from known or unknown causes could occur. I freely assume these risks, if I have concerns I will address them with my esthetician.


I have read, understand and I consent to the terms of this agreement. By signing below, I assume any risk, harm or injury which may occur as a result from the eyelash extension services and I give my permission to my esthetician at SOS WAX and Skincare to perform the services. I will hold the esthetician and SOS WAX and Skincare harmless of any liability and waive any claims that may result from the services.

Who is receiving the Service?

Adult (You)  Minor

Signee Information

If so, please list all (including over the counter drugs / herbal supplements)

Please sign below using your mouse.

By clicking 'I Agree' below, you agree that you have read and agree with the terms of the waiver and that the information you provided is accurate. You furthermore agree that your submission of this form, via the 'I Agree' button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this agreement.