Tooth Gems Questionnaires & Consent Form
  • Tooth Gems Questionnaires & Consent Form

  • Are you filling this form for yourself or for a minor?*
  • Are you 18 years old or older?*
  • Date of Birth*
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  • Format: (000) 000-0000.
  • Is this your first time getting tooth gems?*
  • Do you have veneers, crowns, or dentures on your teeth?*
  • Do you have to wear teeth retainers (at night)?*
  • PROOF OF IDENTIFICATION

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  • PHOTOS AND VIDEOS RELEASE

  • I have been informed that Tonna Sky Beauty may record videos and take pictures of me during my appointment for social media and marketing purposes.

    I understand that the videos and pictures may be used on various marketing platforms, including but not limited to social media websites, promotional materials, and advertisements.

    I acknowledge that my participation in the recording of videos and taking of pictures is voluntary and that I will not receive any financial compensation for the use of these materials.

  • I choose the following:*
  • TOOTH GEM CONSENT AND RELEASE FORM

  • I, the undersigned, acknowledge that by signing this release, I have been given a full and fair opportunity to ask any and all questions I might have regarding the application of tooth gems from Tonna Sky Beauty (hereinafter referred to as "Technician"). I confirm that all my questions have been answered to my complete satisfaction. I specifically acknowledge that I have been informed of the matters set forth below and agree to the following terms. (If any of the following are not checked, I understand that I may not be able to proceed with the tooth gem application session, and I will confirm with the Technician beforehand.)*
  • By signing below, I confirm that I have read, understood, and agree to the terms outlined in this consent form.

     

  • Date*
     - -
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