Technicians make no attempt to, or claim to, practice medicine. Some individuals will have complications related to permanent make-up applications. These complications are usually mild and last only a few days. However, extreme complications are always a possibility. If you are healthy and there are no visible reasons for restricting you from receiving a tattoo, you must approve of the procedure and the color before the application of your permanent make-up.

I confirm that all information given in this form is true, complete, and accurate. I released this organization for any responsibility in case of accident, illness, or injury. I understand that with time the pigment can fade and will change according to metabolism, skin type, medication, age, smoking, alcohol, sun exposure, Retin-A and Glycolic acids. I understand that the process used to apply color is not a one step process and may require subsequent visits to achieve desired results. I further understand that only the initial session is included. Touch-up visits are within two months of first appointment and the result of the procedure will be a permanent change. I accept that touchup sessions are not automatically complementary. I understand the nature of the procedure and possible complications, reactions or adverse effects that may occur as a result of the applied pigments. I fully understand this is a tattooing process, and have discussed any medical conditions. I acknowledge that no assurance was offered about the outcome. I agree to strictly adhere to all aftercare instructions. I understand that taking before and after pictures may be required and allow Icon Aestetics/Icon Microblading to use the photos for marketing or promotional services. I acknowledge by signing below, that I will be been given the full opportunity to ask any and all questions which I might have about obtaining this procedure(s). I also acknowledge that all of my questions have been answered below to my full and total satisfaction. I specifically acknowledge that I have been advised of the fact and matters set below, and I agree as follows. 

I have read and understand the contents of each paragraph above. I acknowledge this is a contract and that I have received no warranties or guarantees with respect to the benefits to be realized from, or consequences of, the aforementioned procedure(s). I further acknowledge that at the time of signing this consent to this procedure(s), I was of sound mind and capable of making independent decisions for myself.

Icon Microblading shall perform permanent application of dyes to the skin of the releaser. Whereas releaser has been informed as to the methods and procedures concerning the result of such treatments, a scratch test will aslso be performed prior to the procedure, if requested by the client, to detect any signs of allergies. I hereby release, acquit and discharge Icon Microblading and any and all persons which are or might be claimed to be liable to me from all claims and demans or whatever nature, actions and causes of action, damages, cost, loss of service, expenses and compensation on account or in any way growing out of personal injuries and property damage to result at any time in the future, whether or not they are in contemplation of parties at the present time and whether or not they arise following the execution of the release as the as the result of treatment procedure rendered. Releaser agrees to indemnify the hold harmless of Icon Microblading for any loss, damage, claim, injury, or expense asserted against myself.

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 be spread mainly from person-to-person contact. ICON MICROBLADING has put in place preventative measures to reduce the spread of COVID-19 with strict cleaning measures and a strong recommendation to wear masks during appointments if possible. Further, attending to appointments in the studio could increase your risk of contracting COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 by attending the appointment and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed or infected by COVID-19 at Icon Microblading may result from the actions, omissions, or negligence of myself and others, including, but not limited to, employees, volunteers, and program participants 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 or my family may experience or incur in connection with my attendance at Icon Microblading Studio.