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L INFORMED CONSENT TO PROCEDURE 1. I absolutely understand and accept that such procedure is a process, often Initial: requiring a follow-up application of color to achieve desirable results and that 100% success cannot be guaranteed. 2. I acknowledge that obtag permanent makeup is my choice alone. The application of permanent makeup will result in a permanent change to my appearance, and that needles and pigments will go into my skin using only sterile disposable single use needles. No representations have been made to me as to the ability to later restore the skin involved in permanent makeup to the original condition, and can be costly to remove. 3. I understand that I will have permanent makeup applied using appropriate instruments and sterilization techniques. I understand that the permanent makeup site usually takes 2 weeks or longer to heal. I agree to release and forever discharge and hold harmless the Technician, all employees, contractors, and the management of the permanent makeup studio for any and all claims of negligence, damages, or legal actions arising from or connected in any way with my permanent makeup procedure. 4. I acknowledge infection is always possible as a result of permanent makeup application, and I agree to follow all suggested instructions concerning the care of the permanent makeup site while it is healing. Possibilities may include: redness, minor bleeding, swelling, tenderness, allergic reaction, hypertrophic scarring, keloid formation, cornea abrasion bruising, inconsistent color and/or spreading or fanning of pigment. 5. I understand the actual color of the pigment maybe modified after the procedure, due to the tone and color of my skin. 6. I understand that positioning of my procedures can be affected if I elect to have cosmetic surgery, Botox, Restalyne or Juviderma 7. I am aware that if I am to receive an MRI after the procedure, I must tell the Radiologist that I have iron oxide permanent cosmetics. 8. If I am a lens wearer, I realize that I must keep my lenses out the day of an eyeliner procedure. 9. I understand that this procedure is permanent in nature, but will fade over time. This fading can alter the original color and that this determines that it is time for a touch-up. Touch-ups should be done every year to maintain the integrity of the color. 10. I understand that laser procedures for hair removal or peri -oral lines may turn permanent lip color dark or even black as well as any Intense Pulse Lights (IPL's). 2