CONSENT FORMS | www.banjibrowbar.com

CONSENT FORM

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ALL CLIENTS WILL BE REQUIRED TO SIGN A CONSENT FORM BEFORE RECEIVING SERVICES.

This form is designed to give information needed to make an informed choice of whether you can/want to undergo the semi-permanent make up application. If you have questions, please don‘t hesitate to ask.

You are 18 years of age or older and that you have truthfully represented to your technician that undergoing this procedure by your choice alone.
You are NOT pregnant nor nursing.
You are NOT under the influence of alcohol or recreational drugs.
You are NOT using blood thinners or medications that may increase bleeding during the procedure.
You do NOT have skin conditions such as severe acne, keloid scarring, eczema, facial psoriasis, keratosis, or moles in the procedure area.
You do NOT have diabetes, a history of hemophilia/abnormal bleeding, or any medical condition that may cause difficulties during the healing process.
You do NOT have any type of rash or infection anywhere on your body.
You do NOT have freckles, moles or sunburn in the procedure area.
You do NOT have any sensitivity to dyes or local anesthetics.
Y󠄂ou acknowledge that you may have an allergic reaction to the pigments or anesthetic cream used and you accept the risk that such a reaction is possible. If you are taking medication and/or have a medical condition that may interact with the pigments or anesthetic cream, it is your responsibility to consult with your doctor prior to booking an appointment.
Infection is very unusual but always possible as a result of the procedure, particularly in the event that you do not follow the proper care following the procedure.
Skin treatments such as laser hair removal, botox, plastic surgery or other skin altering procedures may result in adverse changes to the procedure area.
You acknowledge that if you have any medical condition(s) you will need a medical note from your doctor.
After your procedure you realize that the procedure area will be dark for approximately 6 days and will lighten after. Swelling and/or redness may occur.
You are aware that the eyebrows naturally exfoliate in the first month and the color will fade 30-50% as the skin heals and that this is completely normal.
You acknowledge that the procedure does not start until you are 100% satisfied with the drawing of your eyebrows.
The final result will often not be obtained without returning for a touch up visit to reshape or augment areas within the eyebrow. This is usually done within 5-8 weeks after the initial appointment.
You will receive aftercare instructions and you agree to follow them. You also agree that if you do not follow the instructions that any touch-up will be at your own expense.

EYELASH

CONSENT FORM

ALL CLIENTS WILL BE REQUIRED TO SIGN A CONSENT FORM BEFORE RECEIVING SERVICES.

You understand that the eyelash extensions will be applied to the natural lash as determined by the technician so as not to create excessive weight on the natural eyelash thereby preserving the health, growth and natural look of the client’s natural eyelashes.
You understand that because of the natural lash cycle and wear and tear, you will need to maintain your extensions with touch up appointments, recommended every 2-3 weeks to keep them full. Touch up/fills must have 40-50% of the lashes still intact, if not, it will be considered a new set.
You are aware that eyelash extensions will not cause your natural lashes to fall out. Your natural lashes have their own life cycle of falling and growing and is not due to having extensions.
You understand to keep your eyes closed throughout the entire process as it will affect the procedure.
You understand that there are risks associated with having eyelash extensions and further understand that even though your technician performs the service using the proper technique, instruments, tapes, cleaners, eye gel pads, adhesives, removers used may irritate or eyes or cause them to water and blink in excess.
You understand that allergic reactions are always possible with any procedure and you accept the risk. Should you require a physician’s follow-up, it will be at your own expense.
You understand and agree to the after care instructions that will be provided by your technician and realize and accept any consequences of failure to adhere to these instructions.
You consent to the technician performing the procedure, and also to any actions or conduct that is reasonably necessary to perform the procedure.

BrowTinting

CONSENT FORM

ALL CLIENTS WILL BE REQUIRED TO SIGN A CONSENT FORM BEFORE RECEIVING SERVICES.

Although every precaution will be made to ensure your safety and well-being before, during and after your tinting application, please be aware of the possible risks below. Please initial:

_____ I understand that tinting lashes or brows has some inherent risk of irritation to the orbital eye area, including the eye itself, and could result in stinging or burning, blurry vision and potentially blindness, should the tint enter into my eye.

_____ I understand that if the tinting agent, developer, and mixture of both accidentally comes into contact with my eye, my eye will be flushed with water and medical attention may be required.

_____ I understand that some irritation, itching or burning may occur to my skin which comes in contact with the tinting agent.

_____ I understand that over time the tint will gradually lighten and fade.

_____ I understand that results last up to a week on the skin.

_____ I understand that results last 1-2 weeks on brow hairs.