Cancellation/No Show/Late Policies
EYELASH EXTENSIONS CONSENT FORM
Please enter a number from
Are you under 18?
Guardian of client under 18 name
How did you hear about us?
Catchy Beauty Web Site
Is this the first time you have had lash extensions applied?
If no, where have you had them applied?
Are you having lash extensions applied for?
a special occasion
From the area
Do you wear contact lenses?
Do you habitually rub, pull, or pick your lashes for any reason?
Do you have, or are you being treated for any eye illness or injury?
What side do you predominately sleep on?
Laying face down
Please list any eye drops or eye medication you are using:
Are you able to keep your eyes closed and lie still for up to 2 hours or longer?
Please check off any of the following that might apply to you (within last 1 year)
Lasik Eye Surgery
Permanent eye make-up
Child birth within last 120 days
Hormonal imbalance or extreme stress
Exposure to certain chemicals found in swimming pools, and to bleach,dye and perm hair
Drugs that can cause temporary hair loss:
Chemotherapeutic agents used in cancer treatment
Retinoids used to treat acne and skin problems (such as Accutane or Retin A)
Beta-adrenergic blockers used to control blood pressure.
Do you have any eye diseases?
Swollen or Irrittated Eyelid Blepharitis
Dandruff on Eyelid/ lash
Eyelash lice (Demodex Infestation)
Allergies to adhesives or synthetics (glue)
Hypersensitivity to cyanoacrylate or formaldehyde or certain adhesives/glues
Eyelash extensions are not for everyone. Basically, the first condition to do eyelash extensions is your lashes must be healthy. Our technician have the right to refuse to do eyelash extensions when you have allergies with Adhe- sives, or eye diseases, or your lashes are weak. The technician will advise you to stop doing eyelash extensions when you have so many baby lashes (Anagen Phase) which begin to emerge from the eyelid to let them grow health- ily. In some cases, client starts to have reaction with adhesive after having eyelash extensions for a while, we will not take any responsibility for this, always consult your doctor for medial advice and treatment.
Permission to use Pictures: We are required to take before and after pictures for insurance purposes.
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I agree to the store policy
Eyelash extensions are not for everyone. Basically, the first condition to do eyelash extensions is your lashes must be healthy. Our technician have the right to refuse to do eyelash extensions when you have allergies with Adhe-
sives, or eye diseases, or your lashes are weak. The technician will advise you to stop doing eyelash extensions
when you have so many baby lashes (Anagen Phase) which begin to emerge from the eyelid to let them grow healthily. In some cases, client starts to have reaction with adhesive after having eyelash extensions for a while, we will not take any responsibility for this, always consult your doctor for medial advice and treatment.
The appointments require any canceling or rescheduling to be done prior to 24 hours of your appointment, otherwise you must place the deposit if you want to re-book with us. If you are going to be late to your appointment, please make sure to call us. If you are late, you will only receive your service for the remaining time in your appointment but will be charged for the full amount of the original service. Your appointment will be automatically canceled after 20 minutes late, concerned as “ NO SHOWS”. After two times no shows, we will charge No Show/ Cancellation fee of $35.
**I understand that this procedure requires single/ multiple synthetic eyelashes to be glued to my own natural eyelashes.
I understand that it is my responsibility to keep my eyes closed and be still during the entire procedure, until my eyelash technician addresses me to open my eyes. I understand that some risks of this procedure may be but are not limited to eye redness, swelling of eyelids and irritation. The fumes from the adhesive may cause my eyes to water if I open my eyes.
I confirm all informations that I provide above are true. I agree to disclose any allergies that I may have to surgical tapes, cyano acrylate, adhesives, etc. I understand that I am required to follow the eyelash extension care sheet in order to maintain the life of these extensions. I agree that reading and signing this consent form, I release Catchy Beauty from any claims or damages of any nature. I agree that I read and fully understand this entire consent form. I am of sound mind and fully capable of executing this waiver for myself.
The undersigned confirms receiving, reading and reviewing with the technician the attached Consent Form which forms part of this agreement, I confirm and agree that I wish to engage the services of Catchy Beauty to apply Eyelash extensions.
What you should do before your eyelash extension appointment?
NO MASCARA and EYE SHADOW, and have clean lashes using a mild-oil free cleanser. Technician will charge
to help you remove your make up.
How long will my eyelash extensions last if I follow the proper care instructions?
Eyelash extensions can last up to 6 weeks if you do one time for your special occasion. However, it is common to get a touch up after 3 weeks. Like all hair, there are 3 phases to the eyelash growth cycle. There are lashes in each phase at all times, therefore, some will be lost within a couple of weeks, and others can last much longer as part of the natural cycle. The long- lasting is also affected by the changing of the weather such as temperature and
Do Lash extensions damage my natural lashes?
No. When extensions are applied correctly they will not harm your natural lashes; each lash extension is adhered to one single natural lash, the extension will grow out naturally as your own lash matures. The eyelash adhesive
is formulated to create a solid bond, specifically for human lashes. The adhesive dries very soft on the lashes, allowing the lashes to stay flexible and bouncy just like your own lashes.
Home Care for your eyelash extensions; please review and follow these recommendations.
For the first 24 hours and long term care of your lashes please:
•Do not allow lashes to get wet. Avoid steam – so no spas, saunas, hot tubs, hot yoga, or cooking in a steamy
kitchen. Steam will affect the adhesive from bonding properly. Do not swim
•Do not rub, perm, or tint your lashes before or after lash extension application. When washing your face –
cleanse around the eyes with a wash cloth, or Q-tip
•Do not pull on your lash extensions – as you’re likely to pull out your natural lash with it
•DO NOT USE MASCARA ON YOUR LASHES. Other eyelash places may allow you to use mascara after doing eyelashes extensions, but we strongly recommended our clients say " NO" with mascara. It will stick/ mess up your eyelash extensions and also damage your real natural lashes. If you use mascara after having eyelash
extensions, we will refuse to fix/ refill your eyelashes extensions.
•Do not use a waxy, greasy, or oil based eyeliner or eye shadow during and beyond the first 24hours, this compromises the adhesive and will result in lash extension loss.
•Do not remove the extensions on your own, please seek assistance from your eyelash technician.
•Do not cut your extensions, you risk cutting your own lashes and altering the natural appearance of the lash
•Do not dry your lashes by towel, please use napkin. Always brush your lashes in the morning and at night, at least twice a day. Please avoid high temperature, it may affect the long-lasting.
**As your natural lashes grow and fall out due to the natural growth cycle, you will need refills. It is important to have 75% of the extensions on your lashes in order to maintain the desired clean, full consistent look; therefore, Recommended fills are every 2- 3 weeks. Over 4 weeks, we suggest a new set.
Noise And Mobile Phones: Please make sure either you switch off your cell phone or you turn it to silent mode.
Our technician have the right to refuse to do/ fix/ refill eyelash extensions when:
• Client have allergies with Adhesives or eye diseases, or your lashes are weak.
• Client use Mascara after having lash extensions or client does not follow our instruction to take care good their lashes.
• Client has a full set from other place and want to do refill at Catchy Beauty, because it will not compatible when we try to mix and match different techniques and lash materials, it won't be nice looking.
• Client has NO SHOW 2 times.
All the treatment options available at catchy beauty are carried out by professionals or qualified technical staff. If you are not feeling
good with your eye lashes, please tell us immediately. We don’t give you any refund, but we take care of all your concerns right away.
We strive for 100% client satisfaction and your feedback is really important for us, so we always appreciate it.
**I have read all above informations and agree to continue with the eyelash extension service.
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Adhesive Testing (technician part)
117 Centrepointe Dr #121, Nepean, ON K2G 5X3
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Text/Call (613) 699-0888
Call (613) 800-5678
Cancellation/No Show/Late Policies
1 (613) 699-0888