Semi Permanent Makeup Consent
Terms and Conditions
Release and Waiver of ALL CLAIMS
I acknowledge by signing this release that I have been given the full opportunity to ask and all questions which I might have about obtaining permanent makeup from Yasmin Tork (hereafter called "technician") and that all of my questions have been answered to my full and total satisfaction.
I specifically acknowledge that I have been advised of the matters set forth below and agree as follows:
I acknowledge that obtaining permanent make up is my choice alone. The application of permanent make up will result in a permanent change to my appearance, and that needles and inks will go into my skin. No representations have been made to me as to the ability to later restore the skin involved in permanent make up original condition, and it is very costly to remove
I am not pregnant or nursing. I do not have any history of herpes infections at the proposed procedure site. I do not have epilepsy, diabetes, allergic reaction to latex or antibiotics, hemophilia or other bleeding disorder. I do not have cardiac valve disease or suffer from any heart conditions or take medications that thins my blood.
If I suffer from hepatitis, or other risk factors for bloodborne pathogen exposure, or any other communicable disease, I have informed the technician of the fact and have been advised of any medications and procedure necessary to promote the satisfactory healing of my tattoo.
I do not suffer from any medical or skin condition(s) such as, but not limited to: keloid or hypertrophic scarring. psoriasis at the site of permanent make-up, or any open wounds or lesions at the site of the tattoo.
I do not have a history of medication use or currently using medication, including being prescribed antibiotics prior to dental or surgical procedures.
I have advised the technician of any allergies to latex gloves. soaps, or medications. I acknowledge it is not reasonably possible for the technician to determine whether I might have allergic reaction to permanent make up process and further acknowledge that such reaction is possible
I have truthfully represented to the technician that I am 18 years of age or older. I am not under the influence of any drugs or alcohol. To my knowledge. I do not have physical, mental, or medical impairment or disability that might affect my well being as a direct or indirect result my decision to have a tattoo at this time.
I acknowledge infection is always possible as a result of permanent make-up application, and I agree to follow all suggested instructions concerning the care of the permanent make up site while it is healing. You agree to do the semi permanent makeup at your own risk. Everybody is different and some products can cause an allergic reaction. If you get an allergic reaction Yasmin Tork Aesthetics is not liable for it and the service won't be refunded.
I acknowledge and give consent to this permanent make up studio to use images of my tattoo(s) for marketing and, or publishing purposes in various media such as the internet, magazine, printed, and or television etc.
I understand I will have permanent make up applied using appropriate instruments and sterilization techniques. I understand that the permanent make up 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 management of the permanent make up studio from any and all claims of negligence, damages, or legal actions arising from or connected in any way with my tattoo, the procedure, and conduct used in my tattoo and assume all responsibility for the decision(s) made consenting to this permanent procedure.
I am aware that permanent cosmetic inks. dyes and pigments have not been approved by the Federal Food and Administration and that the health consequences of using these products are unknown.
Policies
1. All training courses and appointments require a non-refundable deposit.
2. If you are more than 15 minutes late, your appointment is cancelled.
3. If you do not confirm your training or appointment 24 hours before it is scheduled, it is cancelled.
4. You may reschedule your appointment one time only or your deposit is forfeited.
5. If an allergic reaction occurs, i will remove your lashes for free.
6. Please no extra guests.
7. You have 48 hours to let me know if there is anything wrong with your set for a complimentary fix. No questions asked. After 48 hours, your set will be considered a mini fill. Must have at least 40%.
Thank you for understanding