I acknowledge that any information contributed by me is true, to the best of my knowledge, and that the present condition of the area that has been treated or will be treated is stated on this record. I fully understand that Mojo Master, Inc. only provides beauty services; there is no medical treatment involved.

I realize that with any beauty service, there may be risks which must be understood. I will be fully responsible for any and all results which may arise from these beauty services. I do hereby agree to hold Mojo Master, Inc. free from any and all claims or suits for damage, for injuries or complications resulting from any beauty service provided by Mojo Master, Inc. 

The nature and purpose of the beauty services, the risks involved, and the possibility of complications have been fully explained to me. I understand that no guarantee or assurance has been given by anyone as to the results that may be obtained.

By signing below, I acknowledge that I have read and understand the above and all of my questions have been answered. I consent to receive the above beauty services.