I authorize Brow Arc Inc. to perform the procedures checked off above on me. I understand the procedure(s) carries with it possible complications and consequences, including but not limited to irritation to the eye and/or skin, temporary itching or burning. I understand that everyone’s hair absorbs the chemicals differently, and the final product may slightly differ from the original. I do not hold the esthetician, who is listed above, responsible for any of my conditions that are present, but not disclosed at the time of this procedure. If I have any irritation I will consult with and strictly follow my doctor’s instruction. I certify that I have read the above paragraph and have been explained to my full understanding this consent form.
Brow Arc cannot offer refunds on the procedure.
I hereby absolutely waive, release, and agree to hold harmless, defend, and indemnify Brow Arc, Inc. and its owners, employees, agents, affiliates, and representatives from any and all claims, demands, actions, or causes of action of any sort, in any forum, including, without limitation, negligence claims, subrogation claims, contribution claims, liens, and claims for insurance proceeds, which might arise in connection with or relating to this procedure.
This agreement will remain in effect for this procedure and all future procedures conducted by the Brow Arc professional. I read English and understand that this consent agreement is legal and binding. I have read and fully understand all information in this agreement and am signing it freely. I am over 18 years of age and consent to the agreement and to treatment.
I acknowledge that the information I have given in this consent form is accurate and complete. By signing below, I confirm that I understand and agree to all terms and statements in this form.