WAIVER - Marveleyes Lashes 2020

- Eyelash Extensions and Eyelash Extension Removal - WAIVER, RELEASE, ASSUMPTION OF RISK, INDEMNITY AND CONSENT AGREEMENT

WAIVER, RELEASE, ASSUMPTION OF RISK, INDEMNITY AND CONSENT AGREEMENT WARNING: Read carefully. This Agreement includes a Release of Liability and Waiver of legal rights and deprives you of the right to sue Marveleyes Inc., its management and employees and/or contractors. Do not sign this agreement unless you have read it in its entirety.
I, First Name* Last Name* understand and acknowledge that I am of the full age of 18 years or older. If below 18 years of age a parent or guardian must also sign this form.
I fully understand the procedure and risks associated with having semi-permanent eyelash artificial eyelashes applied to and/or removed from my natural lashes. I further hereby save harmless and indemnify Marveleyes Inc. for any damages whatsoever resulting from me not complying with the request Marveleyes Inc. has stated herein.I understand that it is my responsibility to remain still in a reclined position throughout the application and to keep my eyes closed during the entire process until otherwise advised. Any medical conditions that might be aggravated by lying still for a prolonged period of time may mean that Marveleyes Inc. will not be able to have the procedure performed on my eyes.I have revealed or disclosed conditions and circumstances regarding my health and health history, medication being taken and any past reactions to products used or medication taken. I understand, additional conditions could occur to be discovered during or after the procedure, which could affect my ability to tolerate the procedure. I confirm that I do not have any medical or eye condition that may interfere with the procedure, application mentioned herein.If at any time I am uncomfortable with the eyelash extension/eyelash removal procedure, I will inform the stylist/artist and she will gladly rectify the problem, including ending the session if I (or the stylist/artist) wish. If the stylist/artist is uncomfortable applying lashes on me, the stylist/artist will discuss her concerns with me and may end the session if necessary. It has been represented to me that no guarantees, warranties, promises, commitments or other statement as to the results of this service have been made, and I acknowledge that I have received no particular representation or guarantees, and I am consenting to the procedure at my own risk.I acknowledge that I have been advised by Marveleyes Inc. of the following potential health/medical risks associated with receiving eyelash extensions and still wish to proceed with the procedures mentioned herein:(a) Transient eye redness, dry eyes, irritation, pain, itching, and discomfort(b) Allergic reaction to the adhesive, under eye gel, patches, lash extension remover agent or any other products used(c) InfectionI understand and agree that if I experience any of the above issues with my lashes I will contact my stylist/artist and have the eyelash extensions removed immediately and consult a physician at my own expense.I understand that even though the stylist/artist may apply and remove the eyelash extensions properly, that adhesive material may become dislodged during or after the procedure, which may irritate my eyes or require further follow up care.I understand there are no guarantees for the bonding time length of the eyelash extensions. Marvelyes Inc. is not responsible for any stylist/artist errors. I understand that I have been advised to follow the aftercare protocol from my technician so as to avoid any discomfort or adverse side effects after theprocedure has been completed.I confirm that I am not under the influence of alcohol or any illicit or prescription drugs which would in any way impair my ability to agree to the terms of this agreement or safely commence the procedures herein.I confirm, this agreement will remain in effect for this procedure and all future procedures conducted by my technician or any other technician conducting business at Marveleyes Inc. I understand that this agreement is binding and that I have read and fully understand all information above
I, inconsideration of Amanda Cheng and Marveleyes Inc. completing the procedure(s) mentioned below, hereby release and further agree not to make any claim or demand, or commence legal action against Marveleyes for damages, compensation, loss or any relief whatsoever in respect of any cause or matter relating to the procedure(s). I further agree that this Agreement shall operate conclusively as an estoppel in the event any such claim, action or proceeding and may be pleaded accordingly.I accept full responsibility for and indemnify and hold Marveleyes Inc., and any of its employees and/or contractors, harmless and without liability of any kind whatsoever for the adhesives, remover agents, type of lashes, length of lashes, position of lashes, weight of lashes, number of lashes, lash application tools, lash cleanser, eye pads, tapes.I further agree to hold Marveleyes Inc. nameless and harmless from any and all damages. I release Marveleyes Inc. from any responsibility for pre-existing conditions I have not revealed, or any consequential change to those conditions that arises after the procedure. I understand I am responsible for any medical treatment I may need to receive because of getting this procedure. I accept full responsibility for these and any other complications, which may arise or resulting of getting this procedure(s), which are to be performed at my request.Having read the above, I acknowledge that all of procedures contemplated and consented to herein have been fully explained and I fully understand the nature, scope and potential risks of the procedure(s) I am consenting to being performed and accept full responsibility for any and all results of the said procedure.
I further acknowledge that any information provided by me to Marveleyes Inc. is being provided solely for the purpose of Marveleyes Inc.'s internal records and under no circumstances is it deemed to be given to Marveleyes Inc. for the purpose of making or giving any medical advice, decisions, opinions, diagnosis, or representation to me or any other third party.
I hereby consent to Marveleyes Inc. and its technicians/artists in performing the procedure(s) of Eyelash Extensions and/or Eyelash Extensions Removal now and for all future sessions.
I, hereby consent to Marveleyes Inc. taking photographs of me before and after the procedures undertaken by Marveleyes Inc. at my request.I further acknowledge and authorize Marveleyes Inc. to use these photographs for the following purposes:(a) Marketing and Advertising: To compile an album of current and past clients to show prospective clients, including but not limited to uploads to social media platforms such as Facebook and Instagram. (b) Educational and Training Materials: To be included in Marveleyes Inc. training course material. (c) Business Operations: For any other uses related to the normal course of business operations by Marveleyes Inc.I understand and agree that:The photographs may be used without my further consent or notification. Marveleyes Inc. will retain ownership of the photographs.The photographs may be edited, altered, or modified as deemed necessary by Marveleyes Inc.I will not receive any compensation for the use of these photographs.
I, First Name* Last Name*, hereby warrant that I have read this Agreement in entirety, carefully, understand its terms and conditions, acknowledge that I will be waiving certain legal rights by signing it (including the rights of the minor, my spouse, children, parents, guardians, heirs, and next of kin, and any legal personal representatives, executors, administrators, successors, and assigns), acknowledge that I have signed this Agreement freely and voluntarily, without any inducement, assurance or guarantee, and intend for my signature to serve as confirmation of my complete and unconditional acceptance of the terms, conditions and provisions of this Agreement. This Agreement shall be deemed to have been made in accordance with the laws of the Province of Alberta. If any provision shall be deemed severable from this Agreement and shall not affect the validity and enforceability of any remaining provisions.

IN WITNESS WHEREOF the parties hereto acknowledge and agree that they have read and understand the terms of this Agreement on
Client's Signature*
Today's Date*

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Per (Company Name) : Marveleyes Inc.

Artist Name: Amanda Cheng
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- Eyelash Extensions and Eyelash Extension Removal - WAIVER, RELEASE, ASSUMPTION OF RISK, INDEMNITY AND CONSENT AGREEMENT