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I understand the taking of before and after photographs/video of Shading are required and I give <br />full consent to Luxe Beauty Loft to share pictures/videos taken as part of the artist's, Leticia <br />Harris, portfolio. X <br />I agree that Leticia Harris has given me the full opportunity to ask any and all questions about the <br />application of my semi-permanent makeup and all my questions have been answered to my total <br />satisfaction. X <br />I agree that should I need to cancel or reschedule my appointment, a FULL 48 hours' notice is <br />required, and failure to do so will result in loss of the non-refundable deposit of $_50.00__. <br />X <br />I acknowledge that I have been given adequate opportunity to read and understand this <br />document, that it was not presented to me at the last minute, and I understand that I am signing <br />a legal contract agreement, waiving certain rights to recover against Leticia Harris/Luxe Beauty <br />Loft X <br />I have received Verbal and Written BEFORE and AFTER Care Instructions and I will comply fully & strictly with these <br />instructions. I understand that my failure to do so can jeopardize my chances for realizing a fully successful <br />procedure. If I am taking medication for depression or any other mood -altering prescription, I will advise my <br />technician/artist. If I have ever had herpes labialis, I will consult with and strictly follow my doctor's instructions <br />before considering any permanent cosmetic procedure. X <br />I have been fully informed of the inherent risks, associated with getting semi-permanent makeup. I fully understand <br />that these risks (known and unknown), can lead to injury, including but not limited to infection, scarring, difficulties in <br />detecting melanoma and allergic reactions to permanent makeup pigments, latex gloves, and/or soap. Having been <br />informed of potential risks associated with the procedure, I still wish to proceed with semi-permanent makeup <br />application and I freely accept and expressly assume ANY and ALL risks, whatsoever, that may arise from this action. <br />X <br />Signs and symptoms of infection include, but not limited to, severe redness, swelling, tenderness <br />of the procedure site, red streaks going from the procedure site towards the heart, elevated body <br />temperature, or purulent drainage from the procedure site. Discharge from site may be green/ <br />yellow in color and foul in odor. <br />CONTACT SALON AND SEEK MEDICAL CARE IF ANY SIGNS OR SYMPTOMS OF <br />INFECTION DEVELOP. <br />I certify that I have read, fully understand, and thereby freely initialed the above paragraphs and <br />have had explained to my full understanding and satisfaction this Consent and Procedure Permit <br />and I will not hold the artist, Leticia Harris responsible for any unforeseen condition(s) arising out <br />of the indicated semi-permanent cosmetic procedure, whatsoever be the nature. X <br />I hereby declare that I am of the legal age of 18 years old (and have provided valid proof of age) <br />and am competent to sign this agreement. X <br />