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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 Brows By LH to share pictures/videos taken as part of the artist's, Leticia Harris, <br />portfolio. X <br />I agree that Leticia Harris has given me the full opportunity to ask any and all questions about <br />the application of my semi-permanent makeup and all my questions have been answered to my <br />total 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/Brows By <br />LH X <br />I have received Verbal and Written BEFORE and AFTER Care Instructions and I will comply fully & <br />strictly with these instructions. I understand that my failure to do so can jeopardize my chances <br />for realizing a fully successful procedure. If I am taking medication for depression or any other <br />mood -altering prescription, I will advise my technician/artist. If I have ever had herpes labialis, I <br />will consult with and strictly follow my doctor's instructions before considering any permanent <br />cosmetic procedure. X <br />I have been fully informed of the inherent risks, associated with getting semi-permanent makeup. <br />I fully understand that these risks (known and unknown, can lead to injury, including but not <br />limited to infection, scarring, difficulties in detecting melanoma and allergic reactions to <br />permanent makeup pigments, latex gloves, and/or soap. Having been informed of potential risks <br />associated with the procedure, I still wish to proceed with semi-permanent makeup application <br />and I freely accept and expressly assume ANY and ALL risks, whatsoever, that may arise from this <br />action. X <br />Signs and symptoms of infection include, but not limited to, severe redness, <br />swelling, tenderness of the procedure site, red streaks going from the procedure <br />site towards the heart, elevated body temperature, or purulent drainage from the <br />procedure site. Discharge from site may be green/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 <br />out 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 />