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MICROBLADING \ DISCLOSURE & RELEASE FORM I UNDERSTAND THE FOLLOWING COMPLETELY:(Initial each statement) Microblading can last 6-18 months depending on how my skin reacts to the procedure.There may be fading and/or discoloration.The result may not be what I expected to receive.I understand this is a semi-permanent makeup procedure that may take numerous follow-ups and touch ups to get desired result. There is no warranty or guarantee made to me as a result of this procedure and the final result cannot be guaranteed.There are no refunds for this procedure,as results will vary and individual results are not guaranteed. I have seen and agreed with the pre-drawn shape that my artist created.I understand that this is a guideline for the shape and size of my brow design and it may vary slightly once the procedure is done. There may be risks and hazard related to performing this procedure. There may be discomfort and pain during this procedure. There is a possibility of bleeding,swelling,redness and allergic reactions to pigments, Microblading is considered semi-permanent and can/will fade overtime. Microblading,though semi-permanent,may last permanently and may not fade. Surgical procedures may be required to remove pigment from skin.These procedures may cause scarring and permanent damage to the skin. Final result cannot be determined until brows are completely healed at 4 to 6 weeks. I understand that permanent and semi-permanent makeup procedures cannot be guaranteed and results cannot be predicted,as there are many variables that contribute to the final result,such as aftercare,skin type,lifestyle,etc. I have received post care instructions and will follow them to ensure results of my procedure are satisfactory. I am NOT pregnant. I am NOT under the influence of drugs and/or alcohol or any other mind altering substance. I fully understand the procedure and give permission to my technician to perform the service of Microblading and all procedure and steps involved. I have truthfully filled out the consent form and have informed my technician of all medications I have taken. I release this business and its representatives and license technicians of all claims and injury,seen or unseen that may occur as a result of this procedure. Client Name(please print) Client Signature Date (month/day/year) Cosmetic Professional Copyright©ALashBoutique