I, the undersigned (“Customer”), consent to have my natural eyebrows laminated (or lifted / permed) (the “Service”) by Fine Line Brow and Beauty Loft (the “Service Provider”). The Service and its associated risks have been explained to me by the Service Provider in terms that I understand. The explanation included:
• The benefits of the Service;
• The nature of the Service and how the Service will be performed;
• The types of materials and products used during the Service;
• The most frequently occurring risks of the Service, and those risks which are unlikely to occur but which may involve serious consequences, including but not limited to the risk of experiencing: (a) Blepharitis and its associated symptoms, (b) an allergic reaction to the lifting cream used to treat my natural eyebrows, (c) Traction Alopecia and its associated symptoms; (d) an eye injury due to lifting cream falling on or into the eye, if not closed during the service; and (e) an eye or other injury occurring during the performance of the Service; (f) if mcustomer is expecting, pregnant or breast feeding the service provider can choose to deny the customer of this services. If the customer chooses to do this service; brow lamination against our service providers advice, customer will not hold services provider or Fine Line Brow and Beauty Loft liable.
• How to properly care for my eyebrows that were laminated; and
• How often I should expect to need to repeat the Service and the best methods for caring for my eyebrows.
I was given the opportunity to ask the Service Provider any questions I have regarding the Service and I have had those questions answered to my satisfaction. Based on the foregoing, I hereby assume all of the risks associated with the Service, whether known or unknown, including, but not limited to, the risk of personal injury or property damage. As consideration for Fine Line Brow and Beauty Loft, LLC performing the Service, I forever release Fine Line Brow and Beauty Loft, LLC and its respective contractors, attorneys, representatives, successors and assigns from any and all actions, claims, or demands that I, my assignees, heirs, next of kin, spouse, personal representatives and legal representatives now have,or may have in the future, for injury, death, or property damage, in any way related to the Service. By initialing at the end of this paragraph, I grant Fine Line Brow and Beauty Loft, LLC permission to reproduce, publish, distribute or otherwise use in any reasonable manner my name, photograph, likeness, and statements, including, but not limited to, before and after pictures of my eyebrows in connection with the promotion of the Service or the products used in the Service (or other similar services and products) in all media, including without limitation, the internet, news articles, advertisements, or other electronic or printed materials. If my initials are not present at the end of this paragraph, then the above-described permission has not been granted.