Pick Services:Form 1 of 2

Eyelash / Eyebrow Extensions


Pre-application guide

If you check all of the items below, then you are an ideal candidate for eyelash extensions. If you do not check one of the items below, consult with our stylists for further information to ensure beautiful, long-lasting results and a comfortable and relaxing experience.

Required*

Are Eyelash Extensions right for you? Check off all that apply*

To ensure long -lasting eyelash extensions and a comfortable and relaxing experience, prepare for your application*

  • Remember: To maximize time with your lash stylist, come to your appointment with clean eyes, free of makeup.
  • Remove all make-up, including foundation, eyeliner, eye shadow, mascara, eye creams, and eye serums.
  • Second Cleanse eye area and eyelashes gently but thoroughly to remove any residual oils or mascara.
  • Shower before your arrival.
  • Do not wear contacts to your appointment. Wear glasses instead.
  • Do not curl your eyelashes on the day of your lash appointment.
  • Do not apply heavy creams, lotions or oils to your face within 48 hours prior to your eyelash application.
  • Wait 48 hours after lash removal prior to having your new set of extensions applied
  • Do not receive chemical treatments to your eyelashes, such as tinting or perming, within 48 hours prior to your appointment.
  • Ensure you have fully recovered from recent irritating eye-area treatments, such as skin-resurfacing procedures, chemical peels, eyebrow waxing, laser treatments and permanent makeup application. Recovery time varies with each procedure and individual.

Consent & Waiver

I authorize a Chic Lash Boutique, Xtreme Lashes trained stylist, hereinafter collectively referred to as my "stylist" to perform the semi-permanent eyelash extension procedure. I understand this procedure requires individual synthetic eyelashes to be glued to my own natural lashes. I understand it is my responsibility to remain still during the application and to keep my eyes closed during the entire process until otherwise advised. I acknowledge that my stylist has explained to me the methods and procedures concerning the application of semi-permanent eyelash extension application and that there are certain complications and risks inherent both in the application process and in wearing semi-permanent lashes. These risks may include, but are limited to, temporary eyelash loss as a result of improper application techniques or through improper post-application care, transient eye redness and irritation, and allergic reaction to the adhesive, under-eye gel patches and other products.

I hereby consent to the procedure at my own risk. If at anytime I am uncomfortable with the eyelash extension procedure, I will inform my stylist and s/he will use good faith efforts to rectify the problem, including ending the session if I (or my stylist) wish.If my stylist is uncomfortable applying lashes to me, s/he will discuss his/her concerns with me and may end the session if necessary. I acknowledge that I have received no guarantees, warranties, promises, and/or commitments regarding the application process or the products used or applied therein or other statements as to the results of this service. I have revealed or disclosed on the Client Registration, Eyelash History, and the Client Consultation & Design Form all conditions and circumstances regarding my health and health history, medications being taken and any past reactions to products used or medications taken. Additional conditions could occur or be discovered during or after the procedure, which could affect my ability to tolerate the procedure.

I understand that the duration of my eyelash extensions requires my careful maintenance. I understand that it takes 48 hours for the adhesive to cure (dry) thoroughly and that the following activities should be avoided, as they will interfere with this curing process, resulting in a weaker bond, premature lash extension loss, and/or irritation: showering, exposure to heat, steam, sauna, and friction; application of eye and eyelash cosmetics; sleeping on the side or stomach; receiving chemical treatments; and receiving irritating eye-area treatments. I also understand that even after the first 48 hours after application, I need to avoid excessive swimming, sauna, steam rooms, pulling on lashes, using oil-based or waterproof cosmetics, and using mechanical curlers or crimping lashes in any way. I understand that failure to follow these instructions may cause irritation, reaction, eyelash loss, and other side effects described in this form. I understand that the eyelash extension application risks and the post-application care and maintenance described herein apply equally to initial eyelash and subsequent touch-up applications.

I, THE UNDERSIGNED, HEREBY FULLY RELEASE, WAIVE, COVENANT NOT TO SUE, AGREE TO HOLD HARMLESS, AND FOREVER DISCHARGE my stylist, Xtreme Lashes LLC, their affiliates, agents employees, officers, directors, independent contractors, and any and all partnerships, corporations, or companies associated with them, from any and all liabilities, demands, claims, losses, injuries, or damages, including court costs and attorneys' fees and expenses, of any nature arising out of or relating to the application of semi-permanent eyelash extension products, EVEN THOUGH CAUSED IN WHOLE OR IN PART BY A PRE-EXISTING DEFECT, THE NEGLIGENCE (WHETHER SOLE, JOINT, OR CONCURRENT), GROSS NEGLIGENCE, STRICT LIABILITY OR OTHER LEGAL FAULT OF MY STYLIST OF OR XTREME LASHES LLC. IT IS MY EXPRESS INTENT THAT THE ABOVE RELEASE INCLUDES THE RELEASE OF MY STYLIST AND XTREME LASHES LLC (INCLUDING THE INDIVIDUALS AND ENTITIES LISTED ABOVE) FROM THE CONSEQUENCES OF THEIR OWN NEGLIGENCE. It is also my express intent that this Waiver and Release Form shall bind the members of my family and spouse, if I am alive, and my heirs, assigns and personal representatives, if I am deceased, and shall be governed by the laws of the State of Texas.
I further agree that, should I choose to seek the advice of an attorney regarding said release, I will be responsible for any and all costs of legal services that I incur. I agree that this release shall be in contemplation of any possible damages, either known or unknown at the signing of this waiver and release form, and said damages are specifically waived following the signing of this waiver and release form. I further agree that in the event that any dispute that arises out of or relating to the application of semi-permanent eyelash extension products and/or terms of this Waiver & Release between me, or anyone acting on my behalf, my stylist and/or anyone affiliated with my stylist shall be resolved by binding arbitration before the American Arbitration Association. The exclusive venue for arbitration against my stylist shall be the city and state in which the stylist resides at the time the arbitration is initiated; provided, however, that the should arbitration be initiated against Xtreme Lashes, LLC, in addition to or exclusive of my stylist, the exclusive venue for such arbitration shall be in Houston, Harris County, Texas. I agree that I will be responsible for and will pay all court costs, arbitration costs, attorneys' fees and expenses, and other associated costs incurred by my stylist or Xtreme Lashes, LLC in seeking enforcement of this Waiver & Release. I further release my stylist from any responsibility for pre-existing conditions I have not revealed, or any consequential change to those conditions that arises subsequent to the procedure. I understand that I am responsible for any medical treatment I may need to receive as a result of getting this procedure. I accept full responsibility for these and any other complications, which may arise or result during or following the eyelash extension procedure(s), which are to be performed at my request.

I, the undersigned client, certify that I have read and had explained to me and fully understand the above waiver and release form and am electronically signing it voluntarily as my own free act and deed. I certify that I have consulted with a stylist and have read all applicable literature given to me. I have completed the Client Registration, Eyelash History, and the Client Consultation & Design Form to the best of my knowledge. I accept the explanation of potential complications and risks described herein. I certify I am of sound mind and I am fully capable of executing this waiver and release form for myself. No oral representations, statements, or inducements apart from the foregoing agreement that has been reduced to writing have been made.

I, the undersigned client, acknowledge and fully understand that there might be other known risks not reasonable foreseeable at this time. I, undersigned client, acknowledge that I have read and agree to the provisions, terms, and conditions provided in the Xtreme Lashes, LLC Waiver and Release Form. I agree to assume all risks of injury associate with eyelash extension application, and agree to hold harmless the stylist and/or anyone affiliated with said professional including, but not limited to, Xtreme Lashes, LLC.

I, the undersigned client, hereby give Chic Lash Boutique LLC and its affiliates, the absolute right and unrestricted permission to take, use, and display photogenic images of me, through any form of media (print, digital, electronic, broadcast, or otherwise) at any location for art, advertising, media release news articles, marketing, publicity, archival, or any other lawful purpose. I waive any right to royalties or other compensation arising from or related to the use of photogenic images of me. I release and agree to hold harmless Chic Lash Boutique LLC and its affiliates from any liability in connection to taking or using said images.