It is a necessary step to sign digital waivers for the beauty industry when you have a beauty treatment.
SEMI-PERMANENT MAKEUP LIABILTY WAIVER
By affixing my signature below, I hereby acknowledge and agree that:
the nature and method of the proposed semi-permanent makeup (SPMU) or cosmetic tattoo, henceforth referred to as “the Procedure”;
the inherent risks of the procedure have been explained to me including, but not limited to, minor and temporary bleeding, bruising, redness or other discoloration, swelling and/or, rarely if improperly cared for, secondary infections;
all of my questions pertaining to the procedure have been answered to my full satisfaction;
I have understood and agree to the facts and matters stated below:
a. I have informed The Artist of any and all of my known allergies. I acknowledge that there is no assurance that I will not develop an allergic reaction to any of the pigments, dyes, topical preparations, or processes used in the procedure; and I agree to accept the risk that such reaction is possible.
b. I acknowledge that complications as a results of SPMU procedures may occur, particularly in the event that the post-procedural instructions are not followed, and accept full responsibility for such complications.
c. I realize that my body is unique and the Artist cannot predict how my skin may react as a result of the procedure; I acknowledge that variations in color and appearance of the SPMU may exist between my expected and the actual results. I also understand that over time and due to the environmental factors, the SPMU may fade and alter in quality.
d. If I have previous procedure performed by someone other than The Artist on the same skin area (brows, lips, etc.), I am acknowledge The Artist to work on it today.
i. I acknowledge that correcting or touching up a SPMU that was executed by others involves additional risks because if the existence of the permanent pigments of unknown composition, brand, color, age, shape and other factors over which The Artist has no control. I acknowledge that additional sessions of the procedure after the initial and follow-up sessions may be required, and will be billed to The Artist’s standard rates. I acknowledge that The Artist cannot predict the results will be as I desire. I understand and fully accept the risks associated with this procedure and hold The Artist harmless for same.
e. I acknowledge that SPMU and the changes to my appearance may last for an extended period (months to years) and that no representations have been made to me as to the ability to later alter or remove the results.
f. I understand that future skin altering procedure including, but not limited to, laser treatments, plastic surgery, botox, fillers, implants, and/or injections may alter and degrade my semi-permanent makeup, and that I must inform any future service provider that I have had undergone the procedure. I understand and accept that such changes are not that fault of The Artist. I further understand that such changes or degradation in my appearance may not be correctable through further SPMU procedures.
g. I acknowledge that I voluntarily elected to obtain the SPMU, and I consent to the procedure and to its related risks, and to any actions or conduct of The Artist reasonably necessary to perform the procedure.
h. I acknowledge that I will have the opportunity to approve the design and pigment of the SPMU to be applied, and I accept responsibility for same.
i. I consent to any relevant photographs being taken both before and after the procedure, to document the results of the procedure strictly for the internal use of The Artist.
j. I consent to The Artist using “before & after” photos of me for marketing purposes of the procedure. If I do provide consent, I may at any time withdraw such consent for specific photographs by contacting The Artist, which will then discontinue use of the said photo(s).
k. I am not pregnant or breastfeeding/nursing.
l. I am not under the influence of alcohol or prohibited drugs.
m. I agree that The Artist reserves the right to withhold or stop the procedure at any time, for reason/s that include, but is/are not limited to: health/skin conditions and medications that are contraindicated to the procedure, prior SPMU on the same area by an entity other than The Artist.
n. I declare and attest to the following, and agree that The Artist may take legal action should these claims to be false:
i. I do not have any ongoing or recurrent infection, covid-19, hepatitis, acquired immune deficiency syndrome (AIDS), or any other communicable blood-borne disease or virus.
ii. I do not have any health conditions including, but not limited to diabetes, cancer, epilepsy/seizures, hemophilia, heart conditions, cerebrovascular diseases, etc., nor am I taking any medications (specifically blood-thinners). Should I elect to undergo the procedure despite my health condition/s and or maintenance medications, I confirm that the decision is voluntary and that I will assume any and all risks thus resulting; and that I have provided The Artist with appropriate medical clearance to undergo the procedure from a legal certified physician.
iii. I do not have any skin conditions and/problems, nor am I currently on any topical/dermal treatments including, but not limited to, peeling solutions, Botox or other similar product, fillers, etc.
o. I, my estate, heirs, executors and/ or assigns, waive and release to the fullest extent permitted by the law The Artist of and from all actions, claims, demands whatsoever that now exist or may hereafter develop and particularly on account of all known, unknown and unanticipated injuries and damages arising out of and in consequence of the procedure.
p. I understand that a follow up retouch session of the procedure and must be obtain within the first 4 to 6 weeks after the procedure, and is charge in a separate fee to address the immediate fading of the pigment that would be expected, depending on the skin variations, I agree that this retouch session is automatically waived if the SPMU in question has been altered by an entity other than The Artist.
q. I have received instructions from The Artist on how to take care of the SPMU after the procedure (post-care instructions.)
I acknowledge that this is a contract and that no warranties or guarantees have been represented with respect to the benefits to be realized from, or consequences of, the aforementioned procedure. I further acknowledge that at the time of signing this consent I am of sound mind and capable of making independent decisions for myself.
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Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19
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, local governments, IATF recommended social distancing and have, in many locations, prohibited the congregation of groups of people.
Brow Designery has put in place preventative measures to reduce the spread of COVID-19; however, cannot guarantee that you will not become infected with COVID-19.
By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by visiting Brow Designery and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, the owner and their families.
I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in visiting Brow Designery. On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless Brow Designery, its owners, representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of Brow Designery, its owners and representatives, whether a COVID-19 infection occurs before, during, or after the visit .
