Eyelash Extension Waiver

Protect your beauty business before every application: the client declares sensitivities, allergies, and eye conditions, then signs the corresponding liability release. Clear backing for both sides.

Use this template

Name

Nombre

Apellido

Date of Birth

Address

Dirección

Ciudad

Estado / Provincia

Código postal

Email

Phone Number

Do you wear contact lenses?

Yes No Sometimes

Do you have, or are you being treated for, any eye illness or injury?

Yes No In the past

Do you have respiratory problems?

Yes No Occasionally

Do you have any eye sensitivities? (Itchy eyes, hay fever, etc.)

Do you have any allergies to adhesives, tape, eye pads, or synthetics?

Any medical information we should know about?

Please read the statement below carefully before signing.

By signing, I confirm that I have read and understood all the terms and conditions of this service.

Sign here

Date

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