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Lash Lift Intake and Consent

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Lash Lift Consent, Waiver & Release of Liability

I consent to have my natural eyelashes lifted/permed. The service risks associated with an eye lash lift but unlikely to occur are blepharitis and its associated symptoms, allergic reaction to the perming cream, traction alopecia and its associated symptoms, an eye injury due to the perming cream falling into the eye or other eye injury occurring during the performance of the service.

I grant the service provider and Hands in Harmony permission to reproduce, publish, distribute and otherwise use in a responsible manner my name, photograph, likeness and statements including but not limited to before & after pictures of the eyes and eyelashes in connection with the service provided. Do not initial if permission is not granted.

December 1, 2020