Customer's Release and Acknowledgement of Risk
This is a RELEASE for waxing, tinting, threading, brow lamination, and lash services ("Services"). I release, discharge, hold harmless, and absolve Brow Sketcher suits, demands of any kind whatsoever, and claims of liability of any nature, including without limitation claims of active or passive negligence, for any damages or injuries, which I, my heirs, executors, administrators and assigns may 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 Brow Sketcher for any claims ("Claims").
I understand that I should not have the Services if 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 ... Retin A, Retinol, vitamin A Roaccutane Antibiotics Benzoyl Peroxide (clinical grade) - I have NOT in the past month had a ... Laser peel Phenol peel Microdermabrasion (professional grade) Any other kind of peel - Within the last 6 months, I have not ... Used Accutane Had Eye Surgery Brow tattoo Microblading
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Initials: I understand that there may be other medications and procedures, and that I may have allergies, that may affect the Service , and it is my responsibility to consult my physician if I uncertain if I should receive any of the services prior to receiving any of the services I understand that there is a risk that may I experience an adverse reaction, such as but no limit to , bruising, redness swelling, scabbing, itchy eyelids, dryness or inflammation of the eye, abnormal lash growth, pimples, raw or peeling skin , and / or rash , from the Services . I acknowledge that no particular presentation or guarantee about the Services has been make to me. I understand it is my responsibility to follow the advice and direction of my services professional during the Services and after care advice (if any) provide to me .
***FOR LAS LIFT & TINTING / BROW TINT SERVICES ONLY : I have had my hair tinted or dyed as least one before and I have never experienced an allergic reaction from hair tint or dye , or I agree to have 24-hours skin test performed. I assume full responsibility for any adverse reaction that may occur during the Tint Services .
**** BROW LAMINATION SERVICES ONLY: I have not experienced loss of eyebrows due to alopecia or chemotherapy. I do not currently suffer from allergies, or l agree to having a 24-hour skin test performed. I assume full responsibility for any adverse reaction that may occur during the brow lamination services. I voluntarilyassume the risk of loss, damage or injury, whether known or unknown, that I may sustain arising out of or as a result of the Services or any activity incidental thereto, however and whenever the same may occur. Initials: Ifany part of this Release and Acknowledgement of Risk Form shall be found invalid orunenforceable, then such part shall be considered deleted from this Form, and the remainder of this Form shall be construed and enforced to the maximum extent permitted by law. This Release will be retained in accordance with Benefit's data retention policy.
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 ON BEHALF OF MYSELF AND THE CLIENT (please include both your name and the minor Client's name in the form below).
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