L & B Services Policy

9 years or younger (remains the same) No services permitted.

10 years – 18 years (or older as noted below) Services permitted in the presence of their legal guardian to sign the customer's
release form on their behalf.
18 years and older Services permitted with the customer's release form signature

Lashes and Brows

Customer's Release and Acknowledgement of Risk
This is a RELEASE for waxing, tinting, tanning, threading, and lash services (“Services”). I release, discharge, hold harmless, and absolve L & B
Station (Lashes & Brows) and any of their respective affiliate, parent companies, members, subsidiaries, employees, directors, officers and agents
(“The Released Parties”) from any and all actions, costs and expenses (including attorney's fees), suits, demands, of any kind of whatsoever, and
claims of liability of any nature, including claims of active or passive negligence , for any damages of injuries, which I, my heirs, executors,
administrators and assigns may actually suffer or incur by reason of any matter connected in any way with the Services. By signing this release, I
understand that I am giving up my rights to sue the Released Parties for any claims, damages or injuries relating to the Services.

I understand that I should not have the Services if I am currently using (or have recently used) any of the following products or have recently had
any of the procedures, and I confirm the following:

I am NOT currently using ... I have NOT in the past month had a ... Within the last 6 months, I have not used ...

 Retin A  Laser peel  Accutane

 Retinol, any form of Vitamin A  Phenol peel
 Antibiotics  Microdermabrasion (professional grade)
 Benzoyl Peroxide (clinical grade)  Any other kind of peel

I understand that there may be other medications and procedures, and that I may have allergies, that may affect the Services, and it is my responsibility
to consult my physician if I am uncertain if I should receive any of the Services.

I understand that there is a risk that I may experience an adverse reaction, such as but not limited to, bruising, redness, swelling, scabbing, pimples,
raw or peeling skin, and/ or rash, from the Services I have asked L & B Station to provide.

I acknowledge that L & B Station has made no particular representation or guarantee about Services to me.

I understand it is my responsibility to follow the advice and direction of my service professional during the Services and after-care advice (if any)
provided to me.

TINTING SERVICES ONLY: I have had my hair tinted or dyed at least once before and have never experienced an allergic reaction from
hair tint or dye. Clients new to tinting (or other hair dyes) must have had a 24-hour skin test (also considered a “Service”) performed.

I voluntarily assume the risk of loss, damage, or injury, whether known or unknown, that I may sustain arising out of as a result of the Services or
any activity incidental there to, however and whenever the same may occur.

If any part of this Release and Acknowledgement of Risk From shall be found invalid or unenforceable, then such part shall be considered deleted
from this Form, and this Form shall be construed and enforced to the maximum extent permitted by law.

BY SIGNING BELOW, I AGREE THAT I HAVE READ AND UNDERSTAND THE ABOVE, THAT THE STATEMENTS GIVEN BY ME ARE
ACCURATE, AND THAT I AM VOLUNTARILY AGREEING TO THE SERVICES AND TO THE RELEASE.

IF THE CLIENT IS A MINOR (SEE LEGAL AGE DEFINITION IN SERVICES POLICY): I AM THE CLIENT'S PARENT OR LEGAL GUARDIAN,
AND I AM SIGNING THIS RELEASE IN BEHALF OF MYSELF AND THE CLIENT (please include both your name and the minor Client's
name in the form below).

First Name (print) Last Name (print) Mobile Number No test Required Signature Date