Our Location

3665 East Bay Drive, Suite 240
Largo, Florida 33771

(727) 536-1527

Hours: Monday–Friday: 10am – 7pm
Saturday: 9am - 7pm • Sunday: Closed

Automatic Authorized Consent

I have agreed to have Nail Envy™ eyelash extensions applied to and/or removed from my eyelashes. Before my qualified professional can perform this procedure, I understand there are risks associated with having artificial eyelashes applied to and/or removed from my existing eyelashes, and that notwithstanding the utmost of care in the application or removal of these products, there still exist risks associated with the procedure and product itself, which include, without limitation, eye irritation, eye pain, discomfort, and, in rare cases, blindness when improperly handled. As part of this procedure, I understand that a certain amount of eyelash adhesive material will be used to attach the artificial Nail Envy™ to my existing eyelashes. Even though the Professional may apply or remove my Nail Envy™ properly, I understand adhesive material may become dislodged during or after the procedure, which may irritate my eyes or require further follow-up care, at my own expense to prevent damage and I will not attribute any liability to Professional or Nail Envy as a result of this procedure or the use and care of these lashes. I also agree to defend, indemnify and hold harmless Professional and Nail Envy from any and all claims, actions, expenses, damages and liabilities, including reasonable attorneys’ fees which might be asserted against them as a result of my having this procedure performed, or my purchase of these Nail Envy™ products. As used in this agreement, the terms “Professional” and “Nail Envy” include all of their respective officers, directors, agents, employees, successors and assigns.


Please indicate if you have used any of the following:

1. Retin-A, Retinol, or another topical vitamin A

2. Acutance or any other acne medication

3. Any exfoliant or hydroxyl-based products                                                                           

4. Any medications, such as Cortisone, blood thinners, or diabetic medication.

5. Any of the above are contraindicative for waxing, and may result in skin irritation, peeling, or hyper-pigmentation. I understand that if I have the Herpes virus, and do not obtain an antiviral medication prior to treatment of the area, the procedure may trigger
an outbreak.  I accept full responsibility for this.

6. Esthetician prior to treatment, I accept full responsibility for any skin reactions.

7. I understand that minor redness and sensitivity is normal from waxing.

8. I will avoid sun heat and certain products (as directed) for at least 24-48 hours after waxing.

9. The hair-removal process has been thoroughly explained to me and I have had an opportunity to ask questions and receive satisfactory answers.


If I experience any pain or discomfort during the session, I will immediately inform the Nail Tech so that the products and/or technique may be adjusted to my level of comfort.
I further understand that, if there are any allergies, including allergies to any fruits or nuts or any health issues such as: Diabetes, or on blood thinners, pregnant or allergic to any lotions, scrubs and/or ingredients; Please list below if any of the above pertains to any conditions you may be aware of.

Because certain treatments should not be performed under certain medical conditions, I affirm that I have stated all my known medical conditions and answered all questions completely and honestly. I agree to keep the nail tech updated as to any changes in my medical profile and understand that there shall be no liability on the nail tech’s part should I fail to do so.


I represent that I am over 18 years of age and that I have the right to enter this agreement, or if I am under 18 years of age, I have had my parent or legal guardian consent to this agreement, and his or her relationship to me is as follows: _______________________________.  By his or her verbal agreement, he or she ratifies and consents to this procedure under these terms.