I hereby, agree to have Henna applied to my natural eyelashes and/or removed and retouched. By signing this agreement, I consent to the placement and/or removal of the Henna by the certified technician at Divine Threading Spa.

I understand that on rare occasions there are risks associated with application of henna on the skin such as redness, itching, burning, swelling, blisters, and/or scarring of the skin. I agree that if I experience any of these conditions with my skin that I will contact the certified technician that performed this procedure and that it may be beneficial to contact emergency medical services without delay, at my own expense.

I have been informed that Henna is a temporary stain and will fade over time, that it is not a tattoo and is not permanent. A light to medium dark stain may be achieved after application and removal (after henna paste is kept on skin for minimum 4-6 hours) but the stain darkens overnight.

I understand and agree to the after-care instructions provided by the certified technician for care of temporary henna stains. I realize and accept the consequences of failure to adhere to these instructions may decrease the time the henna stain will last.

 I am informing the certified technician of the following conditions by marking with a check:

I agree that I will not hold Divine Threading Spa or its affiliates or any of its employees responsible should there be any unfavorable outcome or result.