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Please fill out this form

Birthday
Do you consent to have videos and pictures taken of you, your lashes, before/after/during the lash service? Do you consent for Alexya Beauty to post them on their social media platforms?
Yes
No
Do you have or have you had any of the following conditions? If yes, please select them:
Are you allergic to acrylic or latex? (Medical tape and adhesives required for eyelash extensions may contain acrylic or latex).
Do you wear glasses or contact lenses?
Do you have any other medical conditions which would prohibit or compromise placement and retention of eyelash extensions?
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Do you agree to inform Alexya if any of those statement above changes?

Lash Extension Consent & Liability Agreement

I, the undersigned, consent to the eyelash extension procedure performed by Alexya Silva at Alexya Beauty. I understand there may be potential risks such as irritation, allergies, or discomfort.

While Alexya Beauty uses high-quality products, I acknowledge any side effects are my responsibility.

I accept that lash extensions are semi-permanent and require regular fills, and that results may vary.

I agree to follow aftercare instructions, including avoiding oil-based products and washing lashes daily with the appropriate soap, and I understand non-compliance voids any claims for refunds or free services.

This agreement will remain in effect for all future procedures by Alexya Silva. While precautions are taken to prevent negative reactions, I agree to hold her harmless from any liability. I certify that I fully understand the risks, have had any questions answered, and will not hold Alexya Silva responsible for undisclosed pre-existing conditions that may be affected by the treatment.

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