Facial Consent Form

Queen, are you ready for your appointment? I know you are! In order to ensure you have the best service and consultation, please complete the waiver and questionnaire prior to your appointment. This will help the artist understand your lash history to suggest a gorgeous look!

Please complete the form to the right which includes both the Eyelash Consent Form and COVID-19 Release.

Please review COVID-19 policy updates prior to signing consent forms. The COVID-19 Health Checklist must be signed prior to your visit.

Facial & COVID - 19 Consent Forms

The Eyelash Extension Consent Form must be completed prior to your new eyelash extension appointment. If you are a returning client and have not had lashes for a consecutive 60 days, you must complete the form again.

Liability Waiver

Client Treatment Consent/COVID-19 Release - UPDATED

​

Facial Consent Form

​

I have agreed to have a facial applied completed. Before my professional facialist can perform this procedure, I understand I must complete this agreement and provide my consent by signing and dating this consent form.

Select

I acknowledge that my skin might experience temporary irritation, tightness, redness or slight swelling which usually dissipates within 72 hours depending on skin sensitivity. I acknowledge that if I am allergic to one or more ingredients in the products used, I may experience allergic reactions. I acknowledge that if I fail to use a minimal sunscreen (SPF45), I am more susceptible to sunburn, skin damage & hyperpigmentation. I should avoid excessive sun exposure especially between 10am-2pm.

I acknowledge that this treatment is strictly elective cosmetic procedure and no medical claims have been expressed or implied.

I consent (to the best of my knowledge) that the answers I have given and will give are correct and that I have not withheld any information that may be relevant to my treatment. I give consent for all future treatments

I release Whipped Studios Lash Bar, AestheticsGlo, and its staff of any liability associated with any injuries and /or current and future conditions resulting from the skincare procedures or products.

Esthetic skin care is not an exact science. Each individual’s medical history, lifestyle and skin behaves differently and there is therefore no way to guarantee a specified result or guarantee freedom from adverse side effects. The estheticians will take all possible precautions to avoid such complications. It is therefore imperative that you disclose all of your information candidly so that your treatment can be altered to help avoid complications.

Adverse side effects of facials include but are not limited to: swelling of the face, redness of the treated area, blistering of the skin, crusting of the skin, scars, infection, cuts and burns, change of pigmentation of the skin, allergic reaction to the products used and stinging.

I have had the opportunity to ask my esthetician any questions I may have. I understand this is a cosmetic procedure with risks and potential side effects, and I voluntarily wish to have the services provided with knowledge of the potential side effects. I understand that any false information I have provided may lead to undesirable consequences and affirm I have truthfully discussed my personal and medical history to my esthetician. I further understand my failure to follow post care instructions may also lead to undesired results, complications or effects. I understand that the esthetician does not diagnose illness, disease, or any other physical or mental conditions. To the maximum extent allowed by law, I agree to waive and release any and all present and future claims, suits or related causes of action against Bee Waxed Cosmetics and its service providers.

I have read the above information and if I had any concerns, I have addressed them with my esthetician. I give permission to my esthetician to perform the procedure we have discussed and will hold them harmless from any liability that may result from this treatment. I have given an accurate account of all known allergies or prescription drugs or products I am currently ingesting or using topically.

This waiver will be kept on file and will apply to each and every facial service I receive today and in the future. By signing this document state that I have read, agree and understand the terms herein and voluntarily have accepted the service and any potential risks that may be associated with the service.

I understand that even though precautions are taken in my treatment, not all risks can be known in advance. I agree to unconditionally defend, hold harmless and release from any and all liability of Whipped Studios Lash Bar and, the technician, and all parties associated with my treatment. I release my certified technician and Whipped Studios Lash Bar (Whipped Studios, LLC) from any and all liability associated with this procedure. I understand and agree that any legal action of any kind related to any treatment I receive will be limited to binding arbitration with a single arbitrator agreed to by both parties. This service will be performed with the utmost attention to safety, sanitation, and proper application using tools and products that the technician has been trained and certified.

Please note that facial treatments done are sole responsibility of AestheticsGlo who are not employed by Whipped Studios Las Bar (Whipped Studios, LLC) and is an Independent Contractor . Should any issues/claims arise, they will be directed to AestheticsGlo.

Clear

COVID - 19 Release

Due to the recent outbreak of COVID-19, Whipped Studios is taking extra precautions with the care of every client to include health history and enhanced sanitation and disinfection procedures in accordance with the Australian Government Department of Health Regulations.

​

Some of COVID - 19 Symptoms consist of but are not limited to:

​

Fever, Fatigue, Dry Cough, Difficulty Breathing as well as our rigorous disinfection and sanitization procedures in the salon (view our COVID-19 WorkSafe plan here), we ask of you, our clients to please adhere to the following procedures to prevent the spread of COVID-19:

• No guests or children to accompany those scheduled for services

• Wash your hands upon entering the salon and before leaving

• Wear the mask provided by your technician during your appointment

• Avoid talking during an appointment where possible

• Keep your shoes on during the treatment

• Please be aware that we will not be able to provide blankets or soft furnishings for the time being, if you get cold easily, bring a jumper or your own blanket.

If you've checked any of the above, please understand we will not be able to proceed with treatment at this time. In order to proceed with an appointment, you must validate and be cleared by GP (Doctor) to show as COVID Negative.

If you have checked any of the above questions, we will be in touch with you to get more information.

BY COMPLETING THIS FORM AND SIGNING THIS ACCEPTANCE I AGREE THAT:

​

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, Whipped Studios has put in place many preventative measures to reduce the spread of COVID-19 (please see detailed preventative measures here); however, while we take all possible precautions, Whipped Studios cannot guarantee that you will not become infected with COVID-19. By signing this agreement, you acknowledge the contagious nature of COVID-19 and by attending an appointment at Whipped Studios you do at your own risk. You do certify that you do not currently have any symptoms of COVID-19. You also certify you have not knowingly been in contact with a confirmed case of COVID-19 in 14 days.

​

I have read and answered the questions above truthfully. I have read, agree to the terms and conditions of this waiver.

Clear
Continue

ADDRESS

4672 W FLORIDA AVE, STE 103

HEMET, CA

Powered by: The Lux Agency