App for beauty waiver - WaiverElectronic

First and last name: * Please enter your name.

Date of birth: *

Please enter valid date.

Email: * Please enter your email.

By checking this box, I have informed the practitioner of any and all known allergies. I acknowledge that it is not always reasonably possible to determine in advance whether I might have an allergic reaction to any of the pigments, dyes, topical preparations, or processes used in the procedure; and i agree to accept the risk that such reaction is possible. * Please check it here.

By checking this box, I acknowledge that complications as a result of semi-permanent makeup procedures may occur, particularly in the event that the post-procedural instructions are not followed, and accept full responsibility for such complications. * Please check it here.

By checking this box, I realize that my body is unique and neither Beautiful Beastie nor its employees or contractors can predict how my son may react. * Please check it here.

Have you had previous micro pigmentation performed by someone other than Beautiful Beastie on the same area that I am asking the practitioner to work on today?IF YES, I understand that correcting or touching up micro pigmentation that was performed by others involves additional risks because of the existence of permanent pigments of unknown composition, brand, color, age, shape and other factors over which Beautiful Beastie has no control. I understand that additional appointments may be required, and will be billed at Beautiful Beastie's standard rates. I understand that Beautiful Beastie can not predict the results in advance and can not guarantee and has not represented that the results will be as I desire. I understand and fully accept the risks associated with this procedure. *

No

Yes

Please select at least one choice above.

By checking this box, I acknowledge that the procedure may result in a long-lasting (many years) change to my appearance and that no representations have been made to me as to the ability to later change or remove results. * Please check it here.

By checking this box, I understand that future skin altering procedures such as laser treatments, plastic surgery, implants, and/or injections may alter and degrade my semi-permanent makeup, and that I must inform any future service provider that I have had micro pigmentation applied. I understand and accept that such changes are not the fault of Beautiful Beastie or its employees or contractors. I further understand that such changes or degradation in my appearance may not be correctable through further semi-permanent makeup procedures. * Please check it here.

By checking this box, I acknowledge that obtaining the semi-permanent makeup is my choice alone, and I consent to the procedure and to its attendant risks, and to any actions or conduct of Beautiful Beastie and its employees and contractors reasonably necessary to perform the procedure. * Please check it here.

By checking this box, I understand that I will have the opportunity to approve the design and color of the semi-permanent makeup to be applied, and I accept responsibility for the same. * Please check it here.

By checking this box, I consent to Beautiful Beastie using "before & after" photos of me for marketing purposes to display its capabilities and results. If I do provide consent, I may at any time withdraw such consent for specific photographs by contacting Beautiful Beastie, which will then discontinue use of said photo(s). Please check it here.

Phone number: * Please enter your phone number.

The App for beauty waiver- a good use software system.

Semi Permanent Makeup