Personal InformationName First Last Phone numberEmail address Date of Birth YYYY slash MM slash DD Treatment InformationType of treatment Extensions Lift Tint Date of treatment DD slash MM slash YYYY Acknowledgments I understand that the eyelash treatment involves applying extensions, lifting, or tinting my natural lashes. I acknowledge that results may vary based on individual conditions and there is no guaranteed outcome. I am aware that potential side effects include, but are not limited to, temporary eye irritation, redness, swelling, or allergic reactions. I absolve The Bomb Aesthetics and its technicians of any liability should I experience adverse effects from the treatment. I understand that multiple reffils can be done at my own cost. I understand that The Bomb Aesthetics does not offer refunds for this treatment under any circumstances. Consent I have read and understood the information above. By signing below, I consent to the eyebrow extensions treatment and release The Bomb Aesthetics from any liability related to the procedure.Clients SignatureDate DD slash MM slash YYYY Technicians signatureDate DD slash MM slash YYYY
