I certify that I have read, and fully understand the above paragraphs and that I have had sufficient opportunity for discussion to have any questions answered. I understand the procedure and accept the risks and agree to keep my eyes closed at all times unless otherwise instructed to do so. I have accurately answered the questions above, including listing all known maladies, allergies, prescription drugs or products I am currently ingesting or using topically. I understand that my technician will take every precaution to minimize or eliminate negative reactions as much as possible. In the event that I may have additional questions or concerns regarding my treatment, I will consult the technician immediately. I agree that this constitutes full disclosure and that it supersedes any previous verbal or written disclosures.
I give permission to the technician to perform the service(s) we have discussed and I will hold them, the salon and its staff harmless from any liability that may result from this service(s). I will not hold the technician or Rawe Beauti Skin + Body Bar responsible for any of my conditions that were present but not disclosed at the time of this procedure, which may be affected by the treatment performed today.