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 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 agreeement or safely commence the procedures herein. This agreement will remain in effect for this procedure and all future procedures conducted by my technician or any other technician conducting business at TaSabri Beauty LLC. I understand that this agreement is binding and that I have read and fully understand all information above.
1. RISKS
I fully understand and accept the procedure and risks associated with brow lamination, tinting and/ or waxing where my eyebrow hairs will be semi-permanently restructured and styled and or tinted. I further hereby save harmless and indemnify TaSabri Beauty LLC for any damages whatsoever resulting from me not complying with the request TaSabri Beauty LLC has stated herein.
I understand and accept that it is my responsibility to remain still in a reclined position throughout the service as advised. Any medical conditions that might be aggravated by lying still for a prolonged period of time may mean that TaSabri Beauty LLC will not be able to have the procedure performed on my eyebrows.
If at any time I am uncomfortable with the brow lamination, tinting and/ or waxing procedure, I will inform the stylist/artist and the stylist/artist will gladly rectify the problem, including ending the session if I (or the stylist) wish. If the stylist/artist is uncomfortable performing the brow lamination, tinting and/or waxing on me, the stylist/artist will discuss their concerns with me and may end the session if necessary. It has been represented to me that no guarantees, warranties, promises, commitments, or other statements 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 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, skin, or hair conditions that may interfere with the procedure, application mentioned herein.
I confirm I do not have any of the following skin conditions in the treatment area. If I have any of the following skin conditions, I understand I will not be suitable for the brow lamination, tinting and/or waxing procedure.
• Psoriasis
• Eczema
• Alopecia
• Sunburn
• Ultra-Sensitive Skin
• Wounds or Scar Tissue in the treatment area
• Infection
• Pimple in the treatment area
I confirm I have not had any semi-permanent make-up procedure on my brows for at least 8 weeks.
I confirm, I have not had any skin treatments on my face for at least 4 weeks and have not been on any medication that can affect the skin (such as Accutane or Tretinoin) for at least 6 months. I also confirm that I have not been on any retinol products (AHAs or BHAs) for at least 2 weeks.
I confirm, I am not pregnant or are breastfeeding. (Applies only if during pregnancy, you are experiencing extreme sensitivities or abnormal skin irritations to everyday products.)
I understand and accept that Brow Lamination is an Alkaline based perm, so it is very strong. It is not suitable for clients with chemically damaged hair or extremely curly hair, as it can damage it further or cause unpredictable results. If the stylist/artist finds or determines my brow hairs are damaged or is too curly, the stylist/artist may or may not decide to proceed with service at my discretion.
I understand and accept that some mild but normal symptoms may occur depending on the sensitivity of my skin during the procedure and will subside within 24 hours. These symptoms include:
(a) Mild tingling
(b) Slight redness
(c) Slightly warm in the area
I acknowledge that I have been advised by TaSabri Beauty LLC of the following potential health/medical risks associated with receiving brow lamination, tinting, and/or waxing and still wish to proceed with the procedures mentioned herein:
(a) Allergic reaction symptoms: itching, severe burning, skin flaking or peeling, inflammation, blisters
I understand individual responses to product used for brow lamination, tint, and wax may vary - should a reaction occur, it is my responsibility to seek medical attention at my own expense.
I will advise the brow stylist/artist of any discomfort, irritation, and/or discomfort immediately.
I understand it is my responsibility to follow the aftercare instructions for best results.
I understand in order to maintain the effects of brow lamination and/or tint, the procedure needs to be re-done every 4-8 weeks for maintenance.
I understand that brows may become unruly if touch-ups are not done.
I understand brow lamination will make styling the brows easier, but will not eliminate the need for styling. Brushing and/or use of a styling gel may still be required.
2. WAIVER, RELEASE OF LIABILITY AND INDEMNITY
I, in consideration of Tassia Lewis and TaSabri Beauty LLC, completing the procedure(s) mentioned below, hereby release and further agree not to make any claim or demand, or commence legal action against Tassia Lewis and TaSabri Beauty LLC 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 TaSabri Beauty LLC, and any of its employees and/or contractors, harmless and without liability of any kind whatsoever for the responses to products used for brow lamination, tint, and wax may vary - TaSabri Beauty LLC and its employees will not be held responsible for any injury or damage that may occur due to brow lamination, tint, and wax.
I further agree to hold TaSabri Beauty LLC nameless and harmless from any and all damages. I release TaSabri Beauty LLC from any responsibility for pre-existing conditions I have not revealed or any consequential change to those conditions that arise 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 result of getting this procedure(s), which are to be performed at my request.
Having read the above, I acknowledge that all of the 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.
3. PRIVACY
I further acknowledge that any information provided by me to TaSabri Beauty LLC is being provided solely for the purpose of TaSabri Beauty LLC internal records and under no circumstances is it deemed to be given to TaSabri Beauty LLC for the purpose of making or giving any medical advice, decisions, opinions, diagnosis, or representation to me or any other third party.
4. CONSENT