By signing below, I agree to the following: I have completed this form to the best of my ability and knowledge. I agree to inform the technician of any changes in the above information. I agree that I do not have any condition(s) that would make the requested treatment unsuitable. I will inform the technician of any discomfort I may experience at any time during my treatment to allow them to adjust accordingly. I agree to waive all liability toward my technician and the salon for any injury or damages incurred due to any misrepresentation of my health.

I hereby consent to and authorize

to perform the following procedure:

I have voluntarily elected to undergo this treatment/procedure after the nature and purpose of this treatment have

I understand and acknowledge that there are risks involved with the treatment I will be receiving. Although it is impossible to list every potential risk and complication, I have been informed of possible benefits, risks, and complications, and I have had the opportunity to ask questions regarding these risks and other possible complications.

I also recognize there are no guaranteed results and that independent results are dependent upon age, skin condition, and lifestyle, and that there is a possibility I may require further treatments of the treated areas to obtain the expected results at an additional cost.

I have read and understood the post-treatment home care instructions. I understand how important it is to follow all instructions given to me for post-treatment care. In the event that I may have additional questions or concerns regarding my treatment or suggested home product/post-treatment care, I will consult the esthetician immediately.

I have also, to the best of my knowledge, given an accurate account of my medical history, including all known allergies or prescription drugs or products I am currently ingesting or using topically.

I have read and fully understand this agreement and all information detailed above. I understand the procedure and accept the risks. I agree I will assume the risk and full responsibility for any and all injuries, losses, side effects, or damages that might occur to me while I am undergoing this procedure. I do not hold the esthetician, whose signature appears below, responsible for any of my conditions that were present, but not disclosed at the time of this skincare procedure, which may be affected by the treatment performed today.

Your spa treatments are reserved especially for you. We value your business and ask that you respect the scheduling policies. Should you need to cancel or reschedule, please notify us at least 48 hours in advance. Cancellations with less than 48 hours of notice are subject to a cancellation fee of 50% of cost of appointment .

Should you fail to show up for your scheduled appointment, or cancel with less than 24 hours of notice, the full cost of your appointment(s) will be charged and you will be considered a no show. When you miss an appointment with us, we not only lose your business, but also the potential business of other clients who could have scheduled an appointment for the same time. A second no show will affect your privledge to book future appointments at Skin By Sophia Kerr.

Please arrive 10 minutes before your appointment to ensure you are ready to start on time. This will allow time to use the restroom, take off make-up, wash your lashes and properly hydrate before your appointment begins. If your are unable to start at your scheduled appointment you will be considered late.

Keep in mind that showing up late for an appointment will affect the length and nature of your service and will result in a $15 late fee. We will always do our best to accommodate late arrivals by performing the most complete treatment possible in the time remaining. Unfortunately, arriving more than 15 minutes late to perform a service will result in a cancellation, and the associated cancellation fee.

Due to the nature of our services there are no refunds on any services rendered. Please contact us within 72 hours of our service date with any problems and/or concerns you have regarding your service. We feel that every client deserves the highest level of satisfaction. Should you not be satisfied please let us know immediately, and we will discuss a solution.

Prices are subject to change without notice and are subject to applicable taxes.