• - Lip Blush - 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,      , understand and acknowledge that I am of the full age of 18 years and 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 acknowledge that obtaining semi-permanent makeup is my choice and may result in complications or risks that the artist Amanda Cheng or Marveleyes Inc. is not liable for.*
  • I understand I will have permanent make-up applied using appropriate instruments and sterilization techniques. I understand that the permanent make-up site usually takes 4 weeks or longer to heal. I agree to release and forever discharge, and hold harmless, the Technician, all employees, contractors, and the management of the permanent make-up studio from any and all claims of negligence, damages, or legal actions arising from or connected in any way with my permanent make-up, the procedure, and conduct used in my permanent procedure and assume all responsibility for the decision(s) made consenting to this permanent procedure.*
  • I waive and release to the fullest extent permitted by law any person from Marveleyes Inc. all liability whatsoever, including but not limited to any and all claims or causes of action that I, my estate, heirs, executors, or assigns may have for personal injury tattoo, whether caused by the negligence or fault of either artist or otherwise.*
  • I have been fully informed of the risks of body art including but not limited to infection, misplaced pigment, migrating pigment, poor color retention, fever blisters, scarring, allergic reaction to tattoo pigments, metals, numbing agents, and antibiotics. Having been fully informed of the potential risks associated with body art, I still wish to proceed with this body art and I assume any and all risks that may arise from this procedure.*
  • I agree to immediately notify my artist in the event that I am feeling lightheaded, dizzy, and/or faint before, during, and after the procedure.Type a question*
  • To my knowledge, I do NOT have any physical, mental, or medical impairment or disability that might affect my well-being as a direct or indirect result of my decision to have permanent make-up at this time.*
  • I am NOT under the influence of alcohol or drugs and I am voluntarily submitting to be tattooed without duress or coercion.*
  • I acknowledge that complications as a result of semi-permanent makeup procedures may occur, particularly in the event that the pre and post-procedural instructions are not followed, and accept full responsibility for such complications. Link to pre and post-care instructions: https://www.marveleyes.ca/lipblushpreaftercare*
  • I understand that all questions about the Lip Blush procedure have been answered to my satisfaction and I will been given pre- and post-procedure instructions that I will strictly adhere to. I understand that my failure to do so may jeopardize my chances for a successful procedure.*
  • I understand that I will have the opportunity, within the time constraints of my appointment, to approve the design and color of the semi-permanent makeup to be applied, and I accept responsibility for the same.*
  • I consent to Marveleyes Inc. using "before and after" photos for marketing purposes to display capabilities and results. If I do consent, I may at any time withdraw such consent for specific photos by contacting your artist who will then discontinue the photos.*
  • I do NOT have a history of or am currently using prescribed antibiotics prior to dental or surgical procedures. (Antibiotics used prior to some dental procedures are for persons with certain heart conditions, who may be at risk for developing an infection of the heart).*
  • I understand that immediately after the procedure the enhancement can be 50% darker than the desired result and can take between 5-10 days to lighten approximately 40-50%. I understand that the true color will be visible 6-8 weeks after each application, and that the color may vary according to skin tones, skin type, age and skin conditions. I understand that some skins accept color more readily than others and no guarantee of an exact effect or color can be given.*
  • I understand that upon completion of the procedure there may be swelling and redness of the skin, which will subside within 48 hours. In some cases, bruising can occur. I have been advised that I can resume normal activities immediately following the procedure however, using cosmetics, prolonged exposure to water, excessive perspiration and exposure to the sun should be limited for up to 1 week following the procedure.*
  • I understand that hyper-pigmented lips may take more than one touch-up session after my initial session due to corrective work being a slow-building process.*
  • I understand if I have a history of Cold Sores virus, the Lip Blush procedure may potentially cause a reactivation and outbreak on the treated area. I understand that if I get a cold sore flare-up, it is my responsibility to contact my doctor immediately and my lip blush technician and Marveleyes Inc. is not liable.*

  • I,         confirm I have read through , acknowledge, agree, and understand the complete document and the risks and terms of agreement stated above.  I acknowledge and give my informed consent to having this and future Lip Blush (Tattoo) procedures and release all liability from Marveleyes Inc and staff in perpetuity. I also affirm that the information I have provided is true and accurate to the best of my knowledge and ability.

  • Date*
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    2 digit month, 2 digit day, 4 digit year
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