I authorize Leah Angeloff to provide and apply one of the following services:
Semi-permanent Lash Lift + Tint
Semi-permanent Brow Lift + Wax + Tint
Semi-permanent Lash Tint.
Semi-permanent brow tint.
Semi-permanent brow stain
Semi-permanent eyelash extensions
Dermaplaning
Chemical Peel
Facial including Extractions
Facial wax (lip, brows, chin)
Underarm wax
In order to minimize risk of personal injury, I understand that it is my responsibility to lie completely still for the entire aforementioned service procedure or until otherwise directed by the service provider. I have been fully informed regarding the methods and procedures used in the procedure. All risks and potential complications, including but not limited to redness, irritation, and allergic reactions to either the products used including perm solution, tinting/ staining solution, chemical peel ingredients, blade comprised of nickel, dental adhesive, lash adhesive and/or eye pads, have been fully disclosed to me. I certify that I understand these risks and potential complications, and that I knowingly and voluntarily consent to the application of this procedure. I understand that my results may vary from previous clients' results and that not following the prep + aftercare may potentially cause a lack in satisfactory results. If at any time I feel uncomfortable during the procedure, I agree to immediately notify the service provider. The service provider will seek to remedy the problem, including ending the session if it is deemed prudent. I acknowledge that no guarantees or promises regarding the appearance or longevity of the aforementioned service have been made. I hereby certify that I have disclosed all conditions regarding my health history, medications and past reactions to products, treatments and medications to Leah Angeloff. I fully understand that careful maintenance is also required. I certify that I understand, and agree to comply with the aftercare instructions listed on archangelhq.glossgenius.com with respect to the care of my agreed upon service.
BY SIGNING THIS CUSTOMER WAIVER AND RELEASE AGREEMENT, I THE CLIENT NAMED BELOW CERTIFY THAT I KNOWINGLY AND VOLUNTARILY RELEASE LACQUER GALLERY AND ITS DIRECTORS, OFFICERS, OWNERS, EMPLOYEES, AGENTS AND REPRESENTATIVES FROM ANY AND ALL CLAIMS FOR DAMAGES FOR PERSONAL INJURY ARISING FROM THE APPLICATION AND USE OF PRODUCTS APPLICABLE TO THE AFOREMENTIONED SERVICE INCLUDING ANY DAMAGES RELATING TO KNOW OR UNKNOWN COMPLICATIONS WHICH MAY ARISE DURING OR FOLLOWING THE APPLICATION PROCESS INCLUDING BUT NOT LIMITED TO CLAIMS FOR NEGLIGENCE. I FURTHER RELEASE AND HOLD HARMLESS LEAH ANGELOFF FROM ANY CLAIMS RELATING TO PRE-EXISTING CONDITIONS I HAVE NOT REVEALED OR CHANGES TO THOSE CONDITIONS SUBSEQUENT TO THE PROCEDURE. I AGREE THAT ANY DISPUTES BETWEEN LEAH ANGELOFF, SHALL BE SETTLED BY ARBITRATION ADMINISTERED BY THE AMERICAN ARBITRATION ASSOCIATION IN ACCORDANCE WITH ITS COMMERCIAL ARBITRATION RULES, AND JUDGMENT ON THE AWARD RENDERED BY THE ARBITRATOR(S) MAY BE ENTERED IN ANY COURT HAVING JURISDICTION THEREOF THE PREVAILING PARTY SHALL BE ENTITLED TO REASONABLE ATTORNEY FEES AND ARBITRATION COSTS INCURRED IN CONNECTION WITH ENFORCING THIS AGREEMENT. I certify that I have read and fully understand this Customer Waiver & Release Agreement. I further certify that I have completed the Client Confidential Profile accurately and completely to the best of my knowledge, and that I understand the potential complications and risks described herein. I hereby authorize LEAH ANGELOFF to provide and apply the aforementioned service in accordance with the terms and conditions set forth in this Customer Waiver and Release Agreement.