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I acknowledge and give consent to this permanent make-up studio to use <br /> images of my tattoo(s) for marketing and, or publishing purposes in various media such <br /> as the internet, magazine, printed, and or television etc. <br /> I understand I will have permanent make-up applied using appropriate <br /> instruments and sterilization techniques. I understand that the permanent make-up site <br /> usually takes 2 weeks or longer to heal. 1 agree to release and forever discharge, and <br /> hold harmless, the Technician, all employees, contractors, and the management of the <br /> permanent make-up studio from any and all claims of negligence, damages, or legal <br /> actions arising from or connected in any way with my tattoo, the procedure, and conduct <br /> used in my tattoo and assume all responsibility for the decision(s) made consenting to <br /> this permanent procedure. <br /> CLIENT SIGNATURE: <br /> DATE: <br /> TECHNICIAN: <br /> DATE: <br /> COLORSUSED : <br />