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  • Facials / Back Facials 

    Consent & Release Form
  • This is used to evaluate your individual skin care needs. We will maintain the confidentiality of this information and will disclose this information only: (i) to our staff members, (ii) to quality assurance and quality control personnel, (iii) to our product supplier and manufacturer. We will not provide this information to anyone else, except as required by law, and we will not sell this information to anyone. We may, however, contact you with product-related information.

  • Consent

  • TREATMENT AND RESULTS: I consent to today's treatment. I understand that results will vary between individuals, I understand that although I may see a change after my first treatment, I may require a series of sessions to obtain my desired outcome. I understand that if I am not happy with my results i'm responsible to speak up to make any changes to the service. I understand that I will still pay in full for services rendered regardless of if I speak up or not at the time of the service. There will be NO REFUNDS UNDER ANY CIRCUMSTANCES unless otherwise stated. I understand that if I am unhappy I will not post online about the business in a bashing, mean spirited manner, I will talk with Artistrybytay LLC directly about my issues and have a discussion about how the issue can/may be resolved. Any alternative methods, advantages and disadvantages have been explained to me. I understand and confirm that I have the option to be given in person or virtually sent a sheet with a list of precautions, warnings, contraindications, and instructions for before/aftercare for my service and regardless of requesting a copy, I have had all of this information explained to me prior to my treatment. I am advised that though good results are expected, the possibility and nature of complications cannot be fully anticipated. Therefore, there can be no guarantee as expressed or implied either as to the success or other result of the treatment, I am aware that the results of this treatment with Artistrybytay LLC are not permanent as natural degradation will occur over time. I have had the opportunity to ask any questions about the treatment, including risks or alternatives and acknowledge that all me questions about the procedure have been answered in a satisfactory manner.
    ALLERGIES: All tools are sanitized between every client or one time use products. Any allergies and/or skin conditions or illness would could impede the service or risk the health of the service provider or any associates of the service provider must be reported by the client to the service provider prior to application and, if need be, a sample test of products may be performed on the skin to test reaction. Client agrees to release Artistrybytay LLC (Taylor Gulizio) and any associates from liability for any skin complications, allergic reactions or illness caused from or due to services provided.
    LIABILITY RELEASE: I release and waive any claims against Artistrybytay LLC and their store subsidiaries, and their respective officers, directors, agents, servants and employees, for any liability, demands, actions and causes of actions whatsoever arising out of or related to any loss, damage or injury that may be sustained by me while participating in the this treatment, including, but not limited to, those injuries and damages caused by the negligence and or breach of warranty, express or implied, on the part of Artistrybytay LLC and/or their stores. I, the client(s)/responsible party, hereby release and agree to hold Artistrybytay LLC harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the Service Provider, or that may otherwise arise in any way in connection with any services received from Artistrybytay LLC. I understand that this release discharges Artistrybytay LLC from any liability or claim that I, my heirs, or any personal representatives may have against the Service Provider with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from the Service Provider. This consent and liability release extends to Artistrybytay LLC and any associates of said Service Provider. The client agrees to release Artistrybytay LLC and any associates from liability for any damages accidentally caused during the service to personal property or belongings of the client.
    PERSONAL INFORMATION ACCURACY: I confirm that the information provided on this form is accurate, to the best of my knowledge, and that I have not withheld any information that will be relevant to my consultation and treatment.
    USE OF IMAGES: The client(s)/responsible party does hereby consent and agrees that Artistrybytay LLC has the right to take photographs or digital recordings of me, the client, during my service. These photos/videos may be used for promotion purpose across all social media platforms, including but not limited to Instagram, Facebook, TikTok and Artistrybytay.wixsite.com/2023
    REGISTER YOUR AGREEMENT/UNDERSTANDING: I the client/responsible party, have read and fully understand this agreement and all information detailed above. I the client/responsible party understand the service and accept the risks. All of my questions have been answered to my satisfaction and I consent to the terms of this agreement. I the client/responsible party have read this agreement describing Artistrybytay LLC's services and agree that it reflects the discussion I had with her and my intention to participate in full in my service. I the client/responsible party understand that life & business are unpredictable and will not hold Artistrybytay LLC liable regardless of the outcome.
    ELECTRONIC SIGNATURE: By agreeing here, you are consenting to the use of your electronic signature in lieu of a signature on paper. You have the right to request that you sign a paper copy instead. By signing this document, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.

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