I, first and last name understand I will be turned away and my deposit forfeited if I did not let Lorena know of my previous work within a week of booking my appointment, as stated in the confirmation email I received upon booking. If she hasn't cleared my photos prior to filling out the paperwork, I understand that I may lose my appointment and deposit. I understand that if Lorena has cleared my brows to have an appointment with her, there is a risk the brows will not heal properly due to previous ink and possible scar tissue from my original artist. I understand the service is non refundable and I will not receive a free touch up to address any issues I may see after healing. I understand that Lorena is not responsible for any inconsistencies after having a touch up over my previous work, and that there may be no visible difference in my brows after the service. I, first and last name agree to all of the above and fully understand the risks involved with my service.
Aura PMU Studio makes no attempt, or claim to, practice medicine. Some individuals will have complications related to permanent makeup application. The severity of these complications may vary. By signing below, you agree to understanding the risks related to having the service performed and consent to receiving the service. Full Name*
I acknowledge that I have been given the full opportunity to ask any questions which I may have. I also acknowledge that all my questions have been answered to my full satisfaction. I specifically acknowledge that I have been advised of the fact of the matters set below, and I agree as follows:
I acknowledge that is is not reasonably possible to determine whether I may have an allergic reaction to any of the inks, topical preparations, or processes in the procedure. I agree to accept the risk that such a reaction is possible. I have informed the artist of any existing allergies, medical conditions, and prescribed medications. Full Name*
I acknowledge that complications are always possible as a result of the permanent makeup procedure, particularly in the event where post-procedural instructions are not followed. I realize my body is unique and the artist cannot predict how my skin may react as a result of the procedure. I acknowledge that the procedure will result in a permanent change to my appearance and that no representations have been made to me as the ability to later change or remove the result. I understand that future laser treatments or other skin altering services or products may alter or degrade by permanent makeup. I understand that such changes are not the fault of the practitioner. I further understand that such changes may not be correctable through future permanent makeup or removal. I acknowledge that obtaining permanent makeup services is by my choice alone, and I consent to the application of the procedure and it's risks, and to any conduct or actions of the practitioner reasonably necessary to perform the procedure. Tattoos should be considered permanent; that it can only be removed with a surgical or invasive procedure; and that any effective removal may leave permanent scarring and disfigurement.
I understand that tattoo inks, dyes, and pigments have not been approved by the federal Food and Drug Administration and that the health consequences of using these products are unknown. I further understand that the cosmetic tattooing service is permanent, and no promises have been made in the ability to remove or alter the results.I have been given the full opportunity to share any concerns or questions regarding the shape of the stencil and color to be used for the service, and consent to receiving the service and have approved both the shape and color of ink to be used.
I First Name* Last Name* hereby grant permission to the rights of my image, likeness and sound of my voice as recorded on audio or video tape without payment or any other consideration. I understand that my image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished produce wherein my likeness appears.Additionally, I First Name* Last Name* waive any right to royalties or other compensation arising or related to the use of my image or recording. I also understand chat this material may be used in diverse educational settings within an unrestricted geographic area.Photographic, audio or video recordings may be used for the following purposes: conference presentations, educational presentations or courses, informational presentations, online educational courses, educational videos.By signing this release I understand this permission signifies that photographic or video recordings of me may be electronically displayed via the Internet or in the public educational setting.I will be consulted about the use of the photographs or video recording for any purpose other than those listed above.There is no time limit on the validity of this release nor is there any geographic limitation on where these materials mav be distributed. This release applies to photographic, audio or video recordings collected as part of the sessions listed on this document only.By signing this form I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing this material for educational purposes.
I Full Name understand I must consult a physician prior to my lip tattooing appointment if I've ever had one or more cold sore outbreaks to seek anti-viral medication to prevent a breakout due to the lip tattooing. Further, I Full Nameunderstand that if I have a cold sore/HSV-1 outbreak after the service, Lorena Veronico and Aura PMU Studio are not liable for any medical bills, scarring, or pigmentation irregularities.
The artist providing the procedure agrees to abide by the CDC and BBP guidelines and standards to help prevent the spread of COVID19 and other communicable diseases and illnesses. The artist affirms studio improvements and adheres to updated sanitation protocols to more thoroughly prevent the spread of COVID19 and other communicable conditions and illnesses.