1. I have received a service treatment consultation with Meticuloustry. I have provided all information regarding previous service treatments that may or may not affect the outcome of my service. My technician has explained the process for my desired results.
2. I have provided all information regarding previous service treatments that may or may not affect the outcome of my service. My technician has explained the process for my desired result.
3. I understand there are potential harmful or negative side effects of the service(s) to those who have specific medical or skin conditions.
4. I fully understand that a reaction can occur at any time, even if I have received this service(s) on previous occasions. I further understand that if I have any concerns, I will seek medical advice prior to any service(s)
5. I have been given aftercare instructions and product recommendations to best care for, preserve and prolong my service results. I will follow the recommendations for a home care regimen that can minimize or eliminate possible negative reactions. If I have additional questions or concerns regarding my SERVICE(s) or suggested home product/post-service care, I will consult with my technician immediately.
6. I have read the above information and if I had any concerns, I have addressed them with my technician.
7. I agree that this constitutes full disclosure, and that it supersedes any pervious verbal or written disclosures. I certify that I have read and fully understand the above information and that I have had sufficient opportunity for discussion to have any questions answered. I understand the procedure(s) and accept the risks.
8. I give permission to perform the service(s) we have discussed and will hold my technician and Meticuloustry harmless from any liability that may result from service(s). Furthermore, I do not hold my technician or Meticuloustry, responsible for any of my conditions that were present, but not disclosed at the time of this procedure, which may be affected by the service(s) performed today.
9. I understand that this waiver means that I give up my right to bring any claims including for personal injuries, death, disease, property loss, or any other losses, including but not limited to claims of negligence. I further give up my right to any claim I may have to seek damages, whether known or unknown, foreseen or unforeseen.
10. I understand and agree that the laws of the state of Florida shall govern this waiver and release agreement.
11. I understand and confirm that by signing this form, I hereby waive and release Meticuloustry from any and all claims, of every kind and nature, including claims for personal injuries, death, disease, property loss, or any other losses, including but not limited to claims of negligence. I further give up my right to any claim I may have to seek damages, whether known or unknown, foreseen or unforeseen, arising from or in any way related to the services being provided to me by Meticuloustry. Such release shall extend to Meticuloustry successors, agents, officers, predecessors, parent, subsidiary, attorneys, employees, assigns, and representatives.
12. I agree that this Consent Form is legally binding on me, my heirs, legal representatives, and assigns.
13. I am over 18 years of age and have the legal right to sign this consent form on my own behalf.
14. I agree that by selecting the "Submit" button, I am signing this consent electronically. I agree my electronic signature is the legal equivalent of my manual/handwritten signature on this Consent.