Coquette Beauty LLC 9001Wayne Rd Livonia, MI 48150 Phone: 734-278-6164 info@coquettebeautyusa.com

By signing below, you agree to the following: I have completed this form truthfully and to the best of my knowledge. I consent to updating the technician on any changes to the previously provided information. I consent to release my technician and the employer from all liability for any harm or losses brought on by any falsification of my medical history.

(Full Name), hereby grant permission to Coquette Beauty LLC and its representatives, including employees and independent contractors, to capture and use photographs and/or videos of me for the purpose of promoting and advertising their services and products.

I understand and agree to the following terms and conditions:

Consent for Use: I authorize Coquette Beauty LLC to use the photographs and/or videos taken of me in any and all of its publications, including but not limited to website, social media platforms, brochures, flyers, advertisements, and any other promotional materials.

Ownership and Rights: I acknowledge that [Insert Business Name] is the sole owner of the photographs and/or videos and that they may edit, alter, or combine them with other materials as they see fit. I understand that I will have no ownership rights or claims over the photographs and/or videos.

Confidentiality: I acknowledge that Coquette Beauty LLC will make reasonable efforts to maintain the confidentiality of any personal information associated with the photographs and/or videos but cannot guarantee absolute security. I release Coquette Beauty LLC from any liability in the event of unauthorized access or use of the photographs and/or videos.

Compensation: I understand and agree that I will not receive any financial compensation for the use of the photographs and/or videos.

Release of Liability: I release Coquette Beauty LLC and its representatives from any and all claims, liabilities, demands, actions, causes of action, costs, and expenses that may arise in connection with the use of the photographs and/or videos, including but not limited to any claims for defamation, invasion of privacy, or infringement of any intellectual property rights.

Confidentiality and Privacy: I understand that Coquette Beauty LLC will use reasonable efforts to protect my personal information and will only use it in accordance with their privacy policy.

Right to Revoke: I acknowledge that I have the right to revoke this consent at any time by providing written notice to Coquette Beauty LLC. However, I understand that revoking my consent does not affect any lawful use of the photographs and/or videos that occurred prior to the revocation.

Cancellation Notice: I understand that I am required to provide a minimum notice of 24 hours/days prior to the scheduled appointment time for cancellation. Failure to provide the required notice may result in applicable fees or penalties.

Late Cancellation/No-Show: I acknowledge that if I fail to cancel my appointment within the specified notice period or do not show up for the appointment without any prior notice, Coquette Beauty LLC reserves the right to charge a cancellation fee or require a deposit for future bookings.

Cancellation Fee/Deposit: I understand that the cancellation fee or deposit amount, if applicable, will be determined by Coquette Beauty LLC and communicated to me upon booking or through their cancellation policy.

Refunds: I acknowledge that any deposits or fees paid in advance for the appointment may be non-refundable in the event of cancellation or no-show.

I CONFIRM THAT I HAVE READ AND UNDERSTOOD THE CANCELLATION POLICY AND AGREE TO COMPLY WITH ITS TERMS AND CONDITIONS.