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Forms
Brow Lamination Consent Form
Dermaplaning Consent Form
Eyelash Extensions Consent Form
Facial Consent Form
Lash Lift and Lash Tint Consent Form
Tattoo Forms
Waxing Consent Form
402 669 7094
By Appointment Only
4935 S 136th St, Omaha, NE, 68137
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Brow Lamination Consent Form
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Date
*
Email
*
I
agree to have Brow Lamination and or Tint applied to my natural brows. By signing this agreement, I consent to the procedure of brow lamination and or tint by Adore. I understand there are risks associated with having brow lamination and Tint. I further understand that as part of the procedure, irritation, pain, itching, discomfort, and in rare case infection could occur. I understand that even though Adore is using the proper technique, the instruments, cleaners, products, adhesives, and removers used may cause irritation. I agree to allow pictures to be taken and shared of me I agree that if I experience any of these medical conditions that I will contact Adore and consult a physician at my own expense. I understand there are no guarantees and RESULTS WILL VARY. It is my responsibility to discuss desires results with my service provider and to ask any questions I may have about the service before I receive it I understand that there are many factors that may affect the life of the lamination and tint such as; water and moisture contact, weather conditions, and activities involving exposure to high temperatures. Because RESULTS VARY and are NOT GAURANTEED, refunds will not be issued if results are not desired.
I am informing Adore of the following conditions by marking with a check:
Current use of anything such as oil-containing sunscreen or moisturizers around the eyes
Current allergies or sensitivities to instruments, fumes, tapes, cleaners, adhesives, and removers that could cause irritation
Recent history of Chemotherapy
Other medical conditions which would prohibit or compromise the brow hairs or skin
I release Adore from all liability associated with this procedure, which is performed with the utmost attention to safety and proper application using tools and products that the technician has been professionally trained to use.
*
Yes
This agreement will remain in effect for this procedure and all future procedures conducted by Adore. I have read and fully understand all information in this agreement. I am over 18 years of age or have a parent present with their signature and consent to the agreement and to treatment. A 48-hour notice is required for any canceled or rescheduled appointment or the service price will be charged. There is no refund of any kind for reason. By signing below, I verify that I have read and understand the above statements and agree to them.
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Client Signature
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Clear Signature
Date
*
Minor?
Yes
No
Parent or Guardian Consent (Required for Minors):
I GIVE MY PERMISSION as parent ( ) or guardian ( ) of
For this service I have read and fully understand and accept this Informed Consent/Release of Liability Form and agree to accept all of the provisions and certify that the information collected is true.
*
Yes
We have the right to refuse services for all waxing if proper hygiene is not followed. Brazilian and bikini waxes, please arrive in a clean hygienic manner.
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