CONSENT AND RELEASE AGREEMENT

A. The Releasor has been informed by the Releasee of the possible dangers which may occur as a result of having a permanent cosmetic facial tattoo procedure performed. The Releasor acknowledges that those dangers may include eye injury from the permanent cosmetic eyeliner procedure, swelling, bruising (although rare), temporary minor bleeding, redness or pinkness, and the appearance of the Releasors face which may not be desirable to the Releasor.

B. Any patch test must have occurred prior to your scheduled appointment. If you did not do a patch test prior to today, you waive any claim to require one. 

C. Now, the Releasor having been fully and completely advised of all inherent risks, dangers, and complications which may arise from a permanent cosmetic facial tattoo procedure, voluntarily assumes all and any risks, dangers, and complication which may arise from permanent cosmetic facial tattoo procedure. 

D. The Releasor agrees to accept full responsibility for the color, shape, and thickness of each and every procedure performed by the Releasee which is to include but not limited to the eyeliner, eyebrows, lips, and/or beauty mark permanent cosmetic procedure(s)

A. I acknowledge that I am at least 18 years of age or am the Legal Guardian of the minor receiving the tattoo. If I am a Legal Guardian signing for a minor, I acknowledge that I will be answering these and following questions for the minor receiving a tattoo.

B. If I have any condition that might affect the healing of this tattoo, I will advise my tattooer, I am not pregnant or nursing. I am not under the use of alcohol or drugs.

C. I do not have medical or skin conditions such as but not limited to: acne, scarring (Keloid), eczema, psoriasis, freckles, moles, or sunburn in the area to be tattooed that may interfere with said tattoo. If I have any type of infection or rash anywhere on my body, I will advise my tattooer.

D. I acknowledge it is not reasonably possible for the representatives and employees of this tattoo shop to determine whether I might have an allergic reaction to the pigments or processes used in my tattoo, and I agree to accept the risk that such a reaction is possible.

E. I acknowledge that infection is always possible as a result of obtaining a tattoo, particularly in the event that I do not take proper care of my tattoo. I will receive aftercare instructions and I agree to follow them while my tattoo is healing. I agree any touch-up work needed, due to my own negligence, will be done at my own expense.

F. I realize that variations in color and design may exist between any tattoo as selected by me and as ultimately applied to my body. I understand that if my skin color is darker, the colors will not appear as bright as they do on lighter skin.

G. I understand that if I have any skin treatments, laser hair removal, plastic surgery, or other skin-altering procedures, it may result in adverse changes to my tattoo.

H. I acknowledge that a tattoo is a permanent change to. my appearance and that no representations have been made to me as to the ability to later change or remove my tattoo. To my knowledge, I do not have a physical, mental/medical impairment, or disability which might affect my well-being as a direct or indirect result of my decision to have a tattoo.

I. I acknowledge that I have truthfully represented to my tattooed that the obtaining of a tattoo is by my choice alone. I consent to the application of the tattoo and to any actions or conduct of the representatives and employees of the tattoo shop reasonably necessary to perform the tattoo procedure. 

A. I acknowledge that I am at least 18 years of age or am the Legal Guardian of the minor receiving the piercing. If I am a Legal Guardian signing for a minor, I acknowledge that I will be answering these and following questions for the minor receiving a piercing.

B. I acknowledge that I (or the minor receiving a piercing) am not pregnant. If I have any condition that might affect the healing of this piercing, I will inform the Piercer.

C. To my knowledge, I (or the minor receiving the piercing) does not have any physical, mental, or medical impairment or disability which might affect my well-being as direct or indirect result of my decision to have a piercing done at this time

D. I will advise the Piercer of any allergies to metals, latex gloves, soaps, and/or medications. I acknowledge it is not reasonably possible for the Piercer to determine if I (or the minor receiving the piercing) might have an allergic reaction to the piercing or processes involved in the piercing and further acknowledge that such a reaction is possible.

E. I acknowledge that obtaining this piercing is my (or the minor receiving the piercing) choice alone and will result in a permanent change to my appearance, and that no representation has been made to me as to the ability to later restore the skin involved in this piercing to its pre-piercing condition.

F. I acknowledge that infection is always possible as a result of obtaining a piercing. I agree to follow (or help minor with) aftercare routine while the piercing is healing. I understand that the piercing(s) take a minimum of 8 weeks to 1 year or longer to heal. I understand I will be given detailed aftercare instructions. 

G. I understand that Piercer is in no way legally or financially responsible for any medical or pharmacy bills resulting from seeking a physician's care as it pertains to a piercing and/or infection of the piercing.

H. I understand I (or the minor receiving the piercing) will be pierced using appropriate instruments and sterilization, and that the Piercer will determine the size of jewelry to use based on specific anatomy to the best of their knowledge.

I. I understand that if the piercing site closes due to jewelry coming out, it is my responsibility to pay full price to re-pierce the site.

A. I consent to the application, removal, and/or re-touching of the eyelash extensions to the natural lash by this lash technician

B. I understand the risks associated with the application and/or removal of eyelash extensions to the natural lash. This may include irritation, redness, itching, and watering of the eyes during and/or immediately after the service. I agree that if any of these issues persist, I will contact the lash technician and may have the eyelash extensions removed. I understand that if medical services are sought, it will be at my own expense. 

C. I agree to follow the aftercare instructions given and realize that the failure to follow these instructions may result in the decreased life of my extensions and/or damage to the natural lash.

A. The Releasor has been informed by the Releasee of the possible dangers which may occur as a result of having a Permanent Cosmetic facial tattoo procedure performed. The Releasor acknowledges that those dangers may include eye injury from the permanent cosmetic eyeliner procedure, swelling, bruising (although rare), temporary minor bleeding, redness or pinkness, and the appearance of the Releasor's face which may not be desirable to the Releasor

 

B. Any patch test must have occurred prior to your scheduled appointment. If you did not do a patch test prior to today, you waive any claim to require one. 

 

C. Now, the Releasor having been fully and completely advised of all inherent risks, dangers, and complications which may arise from a permanent cosmetic facial tattoo procedure, voluntarily assumes all and any risks, dangers, and complications which may arise from permanent cosmetic facial tattoo procedure.

 

D. The Releasor agrees to accept full responsibility for the color, shape, and thickness of each and every procedure performed by the release which is to include but not limited to the eyeliner, eyebrows, lips, and/or beauty mark permanent cosmetic procedure(s)

The Releasor fully and voluntarily consents to have the Releasee perform the cosmetic procedure(s) and is fully aware and informed of all and any inherent risks, dangers, and complications that may occur as a result of the procedure(s) as described in this agreement. The Releasee has reviewed the medical history of the Releasor and all questions of the Releasor have been satisfactorily answered by the Releasee.

In order for the Releasee to perform any cosmetic procedures on the Releasor for which the Releasee is volunteering to have performed after having been fully informed of all danger and risks involved as described in this agreement including but not limited to swelling, allergy to pigment, pain, infection, redness, soreness, eye injury, and itching. I voluntarily request that the Releasee performs such procedure(s) and will forever release the Releasee from any and all claims, damages, or liabilities that may result from the cosmetic procedure(s) as described in this agreement including costs of medical care that may arise from the procedure including post-op care. I agree to give up my right to sue the technician, student, the school, or school staff. I have carefully read this agreement and fully understand that it is a release of liability. The Releasor acknowledges receipt of pre-procedure information and post-op care instructions, has read them, has been verbally told them, understands them, and agrees to adhere to them in order to prevent secondary infection. The Releasor acknowledges that no other claims or guarantees have been made by the Releasee other than expressed or written in this agreement.

The following provisions are also an integral part of this Agreement: This Agreement shall bind and benefit the parties and their respective successors. Captions are for reference only and are not a part hereof. This Agreement may be signed in counterparts. A faxed or scanned and electronically transmitted facsimile of a signature-bearing page will be conclusive evidence of execution. The Agreement's provisions are severable. No waiver will be construed as a continuing waiver or consent to a later breach. Rights and remedies are cumulative. This Agreement is parties' full and final agreement and may not be modified except in writing signed by all parties. Time is of the essence of all provisions. This Agreement will be interpreted according to substantive Idaho law. The District Court of Bonneville County, Idaho, will have exclusive jurisdiction and venue of any dispute or enforcement proceeding concerning this Agreement. The non-breaching party in any enforcement proceeding will be entitled to an award of all expenses, including reasonable attorney fees, incurred in obtaining redress. Each party has been afforded the opportunity to review this Agreement with its own counsel. Upon reasonable request, the parties will take such further actions as are reasonably necessary to fulfill the intent of this agreement. No third-party beneficiary rights are intended. Each individual signing this Agreement in a representative capacity warrants his/her authority to bind the part. THE PARTIES UNCONDITIONALLY WAIVE ANY RIGHT TO A JURY TRIAL OF ANY MATTER RELATING TO THIS AGREEMENT. The recitals to this Agreement are incorporated herein by reference and made contractual in nature.

ACKNOWLEDGEMENT OF THE RISKS OR COMPLICATIONS ASSOCIATED WITH PERMANENT COSMETIC FACIAL TATTOO PROCEDURE.

A. The Releasor wishes to have the permanent cosmetic procedure(s) performed by the Releasee.

 B. The Releasor has been informed by the Releasee that permanent cosmetics are the same as tattooing. Therefore, the facial area will be cosmetically tattooed. Color will be implanted into the skin and as a result, the skin color will be permanently altered. 

 C. The Releasor has been informed by the Release that there is pain involved in the procedure(s)

 D. The Releasor has been informed by the Releasee that there may be adverse side effects such as swelling, bruising (extremely rare), temporary minor bleeding, redness or pinkness, and soreness. 

 E. The Releasor has been informed by the release that with the permanent cosmetic facial tattoo procedure, there will be some fading of the color. The Releasee has made no guarantees or promises to the Releasor as to how much color will be retained. Color may have to be reapplied to desired area before satisfaction of the desired color is obtained. The Releasor has been informed by the Releasee that there will be an additional charge for each reapplication of color.

 F. The Releasor has been informed by the Releasee that pigment may migrate or spread to an undesired area.

 G. The Releasor has been informed. by the Releasee that lips may feel dry and tight after a lip procedure

 H. The Releasor has been informed by the Releasee that eye injury may occur from the cosmetic eyeliner tattoo procedure.

 I. The Releasor has been informed by the Releasee that cosmetic facial tattooing is not regulated in Idaho.

 J. The Releasor has been informed by the Releasee that a secondary infection can occur, although rare, and that post-op procedure care instructions will have to be followed in order to help prevent this from occurring.

 K. The Releasor has been informed by the Releasee that an allergic reaction may occur from the pigment used in the permanent cosmetic procedure

 L. The Releasor has been informed by the Releasee that fever blisters or cold sores may occur after the permanent cosmetic lip procedure if the Releasor is prone to having them. The Releasor has been informed by the Releasee to obtain a prescription for Zovirax and take as prescribed for two weeks prior to the permanent cosmetic lip procedure that will be performed in order to help prevent this. 

 M. The Releasor has been informed by the Releasee that as a safety precaution, not to drive anywhere for at least eight hours or have someone accompany you after the permanent cosmetic eyeliner procedure.

 N. The Releasor has been informed by the Releasee not to take any aspirin or Ibuprofen. Permanent Cosmetic facial tattoo procedure may prompt bleeding. Tylenol or other pain reliever which doesn't prompt bleeding may be taken. 

 O. The Releasor has been informed by the Releasee that low-level magnet may be required if the Releasor is ever scanned by an MRI (Magnetic Resonance Imaging) machine because pigments used in the permanent cosmetic procedure(s) contain inert oxides. The Releasor agree to inform the MRI technician of such. 

 P. The Releasor has been informed by the Releasee not to wear any contact lenses during the permanent cosmetic eyeliner procedure. An Antihistamine may be taken in order to help prevent excessively watery eyes.

 Q. The Releasor has been informed by the Releasee to wait one year after a tattoo procedure before donating blood.

 R. The Releasor has been informed by the Releasee to inform medical personnel or professional esthetician of your cosmetic facial tattoo if a chemical peel, MRI, or plastic surgery is to be performed near or over the cosmetic facial tattoo

 S. The Releasor has been informed by the Releasee to use sun screen on a daily basis because constant exposure of the cosmetic facial tattoo to the sun may face the color or even cause irritation to the skin

 T. The Releasor has read and having been verbally told of all of the above recitals by the Releasee, The Releasor never the less desires to have permanent cosmetic facial tattoo procedure(s) performed by the Releasee and is willing to enter into this agreement. 

 U. The Releasor has been informed that any method used to effectively remove the permanent make-up may result in scarring and/or permanent disfigurement of the face. 

 I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD THIS AGREEMENT AND EACH OF THE ABOVE RECITALS. That I have executed this agreement voluntarily, and that this agreement is to be binding upon myself, my heirs, executors, administrators, and representatives.

A. All procedures require a perfecting session before procedure is considered complete. The perfecting session is an additional cost.

B. Perfecting sessions are given no sooner than 6 weeks after the initial procedure and no later than 3 months after the initial procedure

C. In the event that you must cancel an apt, 48 hours notice is required to avoid a cancellation fee of 50% of the total apt cost

A. Fills are recommended every 2-3 weeks. If you wait too long between fills, you may have to pay for a new set.

B. In the event that you must cancel an apt, 48 hours notice is required to avoid a cancellation fee of 50% of the total apt cost.

A. All skin heals differently, and your tattoo may need a touch-up. A touch-up can be done no sooner than 6 weeks after the initial procedure and no later than 3 months after the initial procedure. Touch-ups cost a $25 tray set up fee.

B. In the event that you must cancel an apt, 48 hours notice is required to avoid a cancellation fee of 50% of the total apt cost.

A. Piercing must be fully healed before we can switch out jewelry. Healing is around 8-12 weeks for lobes, 6-12 months for cartilage, and 4-6 months for nostril. We can do jewelry changes in studio for $15 fee.

B. In the event that you must cancel an apt, 48 hours notice is required to avoid a cancellation fee of 50% of the total apt cost.

A. All procedures require a perfecting session to be considered complete. The perfecting is an additional cost.

B. Perfecting sessions are given no sooner than 8 weeks after the initial appointment. 

C. You will be scheduling your perfecting session with the student who has performed your initial appointment.