Be… by Jeneé

Technicians make no attempt to, or claim to, practice medicine. Some individuals will have complications related to permanent make-up applications. These complications are usually mild and last only a few days. However, extreme complications are always a possibility. If you are healthy and there are no visible reasons for restricting you from receiving a tattoo, you must approve of the procedure and the color before the application of your permanent make-up.

• I confirm that all information given in this form is true, complete, and accurate.
• I release this organization from any responsibility in case of accident, illness, or injury.
• I understand that with time the pigment can fade and will change according to various factors including but not limited to metabolism, skin characteristics (dryness, oiliness, sun damage, thickness or thinness), medication, personal skin pH,age, smoking, alcohol consumption, sun exposure, smoking, Retin-A and Glycolic acids and post-procedure aftercare.
• I understand that the process used to apply color is not a one step process and may require subsequent visits to achieve desired results.
• I further understand that the fee includes my first visit only and the result of the procedure will be a permanent change.  Subsequent touch ups will have emseparate fees. 
• I understand the nature of the procedure and possible complications, reactions or adverse effects that may occur as a result of the applied pigments.
• I fully understand this is a tattooing process, and have discussed any medical conditions.
• I acknowledge that no assurance was offered about the outcome on.
• I acknowledge that services are non-refundable.
• I understand that taking before and after pictures may be required and allow Be... by Jeneé to use the photos for marketing or promotional services.
• I acknowledge by signing below, that I have been given the full opportunity to ask any and all questions which I might have about obtaining this procedure(s) from, Sanica Matthews.
• I also acknowledge that all of my questions have been answered below to my full and total satisfaction. I specifically acknowledge that I have been advised of the fact and matters set below, and I agree as follows.
• I confirm that I am above 18 years of age and affirm that I am not under the influence of drugs or alcohol. I further declare that I am not pregnant or nursing and express my desire to undergo the specified permanent pigmentation procedure.
• If any unforeseen condition arises during the procedure, I authorize my therapist to use their professional judgment to determine the necessary course of action under the circumstances. I take responsibility for selecting the color, shape, and placement of the Permanent Makeup procedure, as discussed during the consultation. I understand and acknowledge that non-toxic pigments are used during the procedure and that the achieved result may fade over a period of 1-3 years. Even as the color fades, the pigment itself may remain in the skin indefinitely.
• I have been informed that strict hygiene standards are followed, including the use of sterile, disposable needles and pigment containers for each client, procedure, and visit.
• After the procedure is completed, there may be temporary swelling and redness of the skin, which typically subsides within 1-4 days. Bruising may also occur in some cases. I can resume normal activities, but should limit the use of cosmetics, excessive sweating, and sun exposure until the skin has fully healed. Further instructions regarding aftercare will be provided. The results of the procedure should be acceptable for me to appear in public without additional makeup.
• I have been informed that the true color of the procedure will be visible after 6 weeks, and the pigment may vary based on factors such as skin tone, skin type, age, and skin condition. It is understood that certain skin types may accept pigment more readily, and an exact color guarantee cannot be provided.
• I agree to follow all pre-procedure and post-procedure instructions provided and explained to me by the technician. Failure to comply with these instructions may compromise the success of the procedure.
• I understand that this cosmetic procedure carries both known and unknown complications, including but not limited to infection, scarring, inconsistent color, and the potential spreading, fanning, or fading of pigments. I am aware that the actual color of the pigment may be slightly modified due to the tone and color of my skin.
• I am fully aware that the permanent skin pigmentation procedure is a form of tattooing, which is an art rather than an exact science. I am requesting this procedure with an understanding of its permanence and the possible complications and consequences associated with it.
• I acknowledge that there is a possibility of having an allergic reaction to the numbing agent and/or pigments used during the procedure. I acknowledge that I do not have any known allergies to pigments or anesthetic. I release the technician from any liability in the event that I develop an allergic reaction to the pigment.
• I am aware that if I undergo any skin treatments, injectables, laser hair removal, plastic surgery, or other procedures that alter the skin, it may result in adverse changes to my permanent makeup procedure. I understand that some of these changes may not be correctable.
• I acknowledge that I have read and comprehended the "Pre-Procedure Information and Advice" forms provided and/or included on the BE...BY JENEÉ website regarding the process of the procedure I am about to receive. I confirm that I have had ample opportunity for discussion, asked any necessary questions, and fully understand the details of the procedure. With this understanding, I give my consent to undergo the described procedure as outlined in the forms and agree to strictly adhere to such instructions.

I have read and understand the contents of each paragraph above. I acknowledge this is a contract and that I have received no warranties or guarantees with respect to the benefits to be realized from, or consequences of, the aforementioned procedure(s). I further acknowledge that at the time of signing this consent to this procedure(s), I was of sound mind and capable of making independent decisions for myself.

Sanica Matthews shall perform permanent application of dyes to the skin of the releaser. I hereby release, acquit and discharge Sanica Matthews and any and all persons which are or might be claimed to be liable to me from all claims and demands or whatever nature, actions and causes of action, damages, cost, loss of service, expenses and compensation on account or in any way growing out of personal injuries and property damage to result at any time in the future, whether or not they are in contemplation of parties at the present time and whether or not they arise following the execution of the release as the as the result of treatment procedure rendered. Releaser agrees to indemnify the hold harmless of Sanica Matthews for any loss, damage, claim, injury, or expense asserted against myself.

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to be spread mainly from person-to-person contact. As a a result provincial and federal health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups and people.  BE... BY JENEÉ has put in place preventative measures to reduce the spread of COVID-19 with strict cleaning measures and a strong recommendation to wear masks during appointments if possible. Further, attending to appointments in the studio could increase your risk of contracting COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 by attending the appointment and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed or infected by COVID-19 at BE... BY JENEÉ may result from the actions, omissions, or negligence of myself and others, including, but not limited to, employees, volunteers, and program participants and their families.  I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself (including but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my family may experience or incur in connection with my attendance at BE... BY JENEÉ.