CONSENT I hereby declare that I am of legal age and I understand that treatments for body sculpting do not guarantee absolute results. In order to achieve my desired results, I may be required to undergo several treatments with an appropriate diet and physical activity. I allow Body By Bemilly to take photographs of my before and after results as proof of the treatment. If you do not wish to take photographs, we have the right to decline to serve you. I allow Body By Bemilly to use these photographs for case studies, advertising, and marketing.I understand that non-invasive surgery procedures do not rid the body of visceral fat. I hereby release and forever discharge Body By Bemilly, its affiliates, partners, agents, and employees from any and all causes of action. I will hold harmless from Body By Bemilly for any liabilities, damages, injuries whether seen or unforeseen. I understand that any procedure under Body By Bemilly does not constitute medical treatment or cure to any illness. By signing this form, I declare that all information and declarations I have made above are true and correct to the best of my knowledge. I have had the opportunity to ask questions, which were answered to me and to my satisfaction. I have likewise read all the information above and give my consent with my full knowledge, understanding, and assumption to the risks involved in the treatment, without any coercion, inducement, or undue influence. I confirmed that all information in this form is accurate and true to the best of my knowledge.