Please read and initial each statement below:
I agree to pay for my micropigmentation procedure, which shall be due and payable upon completion of this agreement. I understand that the amount for this procedure is nonrefundable.
I have been fully informed of the inherent risks, associated with micropigmentation (i.e., tattoo) treatment. I fully understand this is a tattoo process and therefore not an exact science. I request the permanent skin pigmentation procedure and accept the permanence of the procedure as well as the possible risks, complications and consequences of the said procedure. I fully understand that these complications and risks, known and unknown, can lead to injury, including but not limited to infection and scarring. Having been informed of the potential risks associated with getting this procedure, I still wish to proceed with the permanent micropigmentation application, and I freely accept and expressly assume any and all risks that may arise from permanent micropigmentation.
I hereby consent to the above procedure being done on me and in consideration of their doing so, I hereby and forever discharge, waive and/or release to the fullest extent permitted by law each of Christopher M. Herrera, hereafter identified as “Artist”, and/or Beauty Enhance Studio its officers and employees from all liability whatsoever, for any and all claims or causes of action that I, my estate, heirs, executors or assigns may have for personal injury or otherwise, including any direct and/or consequential damages, which result or arise from the application of my permanent micropigmentation, whether caused by the negligence or fault of either Artist or Beauty Enhance Studio, or otherwise.
That both Artist and Beauty Enhance Studio have given me the full opportunity to ask any and all questions about the application of my procedure and all of my questions have been answered to my total satisfaction.
Artist and Beauty Enhance Studio have given me instructions on the care of my permanent micropigmentation while it’s healing, and I understand them and will follow them. I acknowledge that it is possible that the body art can become infected, particularly if I do not follow the instructions given to me. If any touch-up work to the artwork is needed due to my own negligence, I agree that the work will be done at my own expense.
A Micropigmentation procedure is a permanent change to my appearance and can only be removed by laser or surgical means, which can be disfiguring and/or costly and which in all likelihood will not result in the restoration of my skin to its exact appearance before having this procedure done. Beauty Enhance Studio will not be responsible for the removal of any micropigmentation procedure.
I understand that photos will be taken of my procedures by Artist. I release all rights to any photographs taken of me and the finished body art and give consent in advance to their reproduction in print or electronic form. (If you do not wish to have your face covered, please advise and remind Artist and Beauty Enhance Studio so a face covering can be provided for you.)
I acknowledge that I have been given adequate opportunity to read and understand this document and I understand that I am signing a legal contract waiving certain rights to recover against Artist and/or Beauty Enhance Studio.
Appointments cancelled within 72 hours will incur a $100 fee and will be required to reschedule. THIS IS NON-NEGOTIABLE.
I understand that if I do not come with my hair trimmed to a near bald level at any micropigmentation session (where applicable) a haircut will be required for a fee of $50 per haircut, due the day of the appointment.
I understand that the scalp micropigmentation procedure must be scheduled and completed within 90 days of the first session. Failure to do so will result in additional sessions needing to be scheduled to complete the procedure. Booking fees will be assessed, where applicable.
BY SIGNING BELOW, I ACKNOWLEDGE THAT I HAVE READ THIS AGREEMENT, I UNDERSTAND IT AND I AGREE TO BE BOUND BY IT.