• SOCAL ESTHETIX

    APPOINTMENT AGREEMENT FORM
  • Format: (000) 000-0000.
  • photo/video consent & release form

  • I, *   *   do hereby agree to the following. I am allowing Socal ESTHETIX or delegated photographer to take photos of my SERVICE and/or SERVICED areas to be used to the purpose of monitoring my progress.

  • IN ADDITION:*
  • late policy*
  • rescheduling policy - I understand, life happens! just please if you absolutely can MAKE ME AWARE AHEAD OF TIME ALL I ASK IS YOU respect my time as I YOURS.*
  • please read thoroughly and mark off as confirmed/acknowledged*
  • covid-19 regulation

    due to the coronavirus's capacity to transmit from person-to-person through respiratory droplets, the United States has set recommendations, guidelines and some prohibitions in which @socalesthetix is choosing to comply by.
  • in consideration of socal esthetix pariticipation in the foregoing, the undersigned acknowledge and agree to the following:*
  • following above I hereby declare the following*
  • POLICY AGREEMENT/LIABILITY RELEASE WAIVER

  • By signing below I acknowledge that I have read the foregoing Policy Agreement/Liability Release Waiver and understand its contents; That I am at least eighteen (18) years old and fully competent to give my consent; That I have been sufficiently informed of the risks involved and give my voluntary consent in signing it as my own free act and deed; That I give my voluntary consent in signing this Client Consent Form/Covid-19 Regulation and Liability Release Waiver as my own free act and deed with full intention to be bound by the same, and free from any inducement or representation. This waiver will remain effective until laws and mandates relevant to COVID-19 are lifted.

  • Date*
     / /
  • Image field 114
  • Should be Empty: