Photo Release Form
- I grant Permission to Use Pictures, Video and Audio in original Videos.
- I grant Artist and "Dulce Esthetica, LLC" the full right to photograph, publish, and reproduce pictures of me, my face, my eyes, and/or eyelashes.
This extends to before, during and after the procedure, for any advertising, education, or other purposes whatsoever, including the right to edit the photographs, Video as deemed necessary by Artist or "Dulce Esthetica, LLC" I further expressly assign any copyright in these
photographs,Video Footage to "Dulce Turrubiartes".
If you choose NOT to be featured it is okay. Please let me know via email if you choose not to be featured in respect of your privacy. Email me at dulcesthetics@gmail.com
Lash Lift and Tint Waiver Liability
I understand that even with the utmost of professional care, there are built-in risks (potentially harmful or negative side effects) associated with having lash lifts or lash tints applied to my skin or protective shield and with any and all products used in the lash lift and tint process including but not limited to Cleansers,Saline Solution,Warm Distilled Water, Adhesive, tape, Developer, Dye(Tints), Gel Eye pads. These built-in risks include but are not limited to:
- Allergic reaction to the products used in the lash lift and tint process:
- Skin/Eye irritation & redness
- Skin “lifting” or removal/Staining skin with tint.
- Bruising, scarring, scabbing or swelling
- Add any other built-in risks you find necessary here.
1. I have received a consultation with Dulce Esthetica,LLC/Dulce Turrubiartes technician. I have provided all information regarding previous lash lift/lash tint procedures that may or may not affect the outcome of my service. My technician has explained to me the process s/he recommends for lash lifting and tinting.
2. I have given an accurate account of the questions asked above including all known allergies or prescription drugs or other products I am currently ingesting or topically using.
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/hospitalization,physician help at my own expense prior or after 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, including recognizing the importance of keeping the lashes dry for 24hours, not touching the lashes and avoiding the sun/tanning booths and extreme weather conditions. I agree to use a lash serum or oil specifically recommended by my technician.
6. I acknowledge that I have been informed of the possible negative reactions (scabs) and the expected sequence of the healing process (dryness,sweling, irritation, redness, and peeling of the skin). 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.
7. I have read the above information and if I had any concerns, I have addressed them with my technician.
8. 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 and accept the risks.
9. I give permission to perform the Lash Lift and tint procedure we have discussed and will hold my technician and Dulce Esthetica,LLC harmless from any liability that may result from SERVICE(s). Furthermore, I do not hold my technician or Dulce Esthetica,LLC, responsible for any of my conditions that were present, but not disclosed at the time or future procedures, which may be affected by the SERVICE(s) performed today or from a year of submitting or signing this form.
10. 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.
11. I understand and agree that the laws of the state of TEXAS shall govern this waiver and release agreement.
12. I understand and confirm that by signing this form, I hereby waive and release Dulce Esthetica,LLC/ Dulce Turrubiartes 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 Dulce Turrubiartes/Dulce Esthetica,LLC. Such release shall extend to Dulce Esthetica,LLC successors, agents, officers, predecessors, parent, subsidiary, attorneys, employees, assigns, and representatives.
13. I agree that this consent form is legally binding on me, my heirs, legal representatives, and assigns.
13.b I understand by booking with "Dulce Esthetica,LLC" I have read and will follow all policies stated on website dulcesthetics.com
14. I am over 18 years of age and have the legal right to sign this consent form on my own behalf.
15. I understand that the intensity of the lash lift/ curl is determined by the integrity and length of my natural lashes.
16. I understand that if I fail to follow the aftercare instructions after my service that the longevity of the curl may be lesser than 6 weeks.
17. I understand that during this lash treatment that my eyes must remain close for the entire duration of the appointment time of 1 hour.
18. Lash Tinting: I understand that some irritation,staining, itching, or stinging may occur to the skin if contact is made with the tinting agent.
19. I understand that over the course of 6-8 weeks the tint and lift will gradually lighten and relax. Re-tinting and lifting will be required every 6-8 weeks.
20. 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.