Lash Liability Waiver

One Waiver must be completed for EACH Participant!

THIS LASH LIABILITY WAIVER (this "Agreement") IS A RELEASE OF LIABILITY AND INDICATES YOUR ASSUMPTION OF THE DIRECT AND INHERENT RISKS ASSOCIATED WITH THE LASH PROCEDURE.

BETWEEN:

NellyLashedIt LLC (hereinafter referred to as "Company").

Acknowledgment of Risks

This Agreement acknowledges that the participant is aware that the application of eyelash extensions involves certain risks, including but not limited to:

Allergic reactions to adhesives, products, or tools used during application.
Potential for irritation to the eyes and surrounding skin.
Accidental damage to the natural lashes.
Infections caused by improper aftercare.
Visual impairment, albeit rare, due to improper technique or equipment failures.

Health Disclosure

The participant agrees to provide accurate health information, disclosing any known allergies, medical conditions, or medications that might impact the safety and effectiveness of the lash procedure. It is the participant's responsibility to inform the technician of any recent:

Eye surgeries or procedures.
Allergic reactions to eyelash extensions or adhesives.
Skin conditions in or around the eye area.

Assumption of Responsibility

By signing this Agreement, the participant releases NellyLashedIt LLC and its employees from any liability associated with any damages or injuries that may occur as a result of receiving lash services. The participant understands that they are responsible for the aftercare of their eyelash extensions and associated products.

Consequences of Non-Disclosure

Any failure to disclose allergies or relevant medical information may result in serious consequences including but not limited to:

Increased discomfort or irritation during and after the procedure.
Potential for severe allergic reactions causing long-term damage.
Liability for damages resulting from non-disclosure will fall solely on the participant.

Indemnification

The participant agrees to indemnify and hold harmless NellyLashedIt LLC for any liabilities, costs, injuries, or damages including attorney fees, arising from the participant's failure to disclose any relevant health information.

Final Agreement

The participant confirms that they have read this waiver and fully understand its contents. By signing, they acknowledge their responsibilities and the risks involved in receiving eyelash extensions. This Agreement constitutes the entire agreement between the parties.

Full Name*

Date:*(MM/DD/YYYY)

Email:*

Phone:*

Address:*

Same as above

Your Age: *

Take photo/Select file to upload (e.g. Medical history or allergies):*

Click to select file

Do you have any allergies? Please specify:*

Signature:*

Click to sign

By checking this box, I acknowledge that there are potential risks involved in obtaining lash extensions, including, but not limited to, allergic reactions, irritation, and infection.*

By checking this box, I confirm that I have no known allergies to eyelash extension products or materials used during the lash application process. I will inform my technician if I have any changes to my allergy status.*

By checking this box, I acknowledge that I have disclosed all relevant medical conditions, including any eye or skin issues that could affect the application or healing process of lash extensions.*

By checking this box, I understand that while every precaution will be taken to ensure a safe procedure, individual reactions to products may vary, and NellyLashedIt LLC is not liable for any adverse reactions.*

By checking this box, I agree to follow all pre- and post-care instructions provided by my lash technician to minimize risks and promote the best results for my lash extensions.*

By checking this box, I acknowledge that it is advisable to conduct a patch test prior to the application of lash extensions to check for possible allergic reactions.*

Lash Liability Waiver

**Lash Liability Waiver**

Acknowledgment of Risks

Health Disclosure

Assumption of Responsibility

Consequences of Non-Disclosure

Indemnification

Final Agreement

Lash Liability Waiver