I give permission for any photos and audio-visual or graphic materials to be used for marketing, education and/or promotional purposes without payment to me. I understand that although the photographs or accompanying material will not contain my name or any other identifying information, I am aware that i might be identified by the photos
By signing below, I acknowledge and certify that I have read and understand the "consent, release and indemnity" agreement for the treatment, and that I am signing it voluntarily. Should any pain or discomfort occur, I will immediately notify the tecnician. I understand if I am under 18, a parent/guardian consent will be needed. I understand that all sales are final and refunds are not permitted.