understand and acknowledge that I am of the full age of 18 years or older and I confirm that I am not under the influence of alcohol or any illicit or prescription drugs which would in any way impair my ability to agree to the terms of this agreeement or safely commence the procedures herein.
1. RISKS
I acknowledge that I have been advised by Marveleyes Inc. not to drive a motor vehicle or operate machinery or heavy equipment for a period of not less than (8) hours after a permanent procedure (eyeliner). Any permennent procedure (eyeliner and/or eyebrow) are not suitable for someone who is pregnant and/or breastfeeding. I further hereby save harmless and indemnify Marveleyes Inc. for any damagest whatsoever resulting from me not complying with the request Marveleyes Inc. has stated herein.
I confirm I do not have hemophilia, nor do I take blood thinning medication or any other medication including but not limited to Accutane that may interfere with the procedure, application or healing of any procedure mentioned herein. I also confirm that I do not have any other medical or skin condition that may interfere with the procedure, application, or healing of any procedure mentioned herein.
I acknowledge that I have been advised by Marveleyes Inc. of the following potential health/medical risks associated with tattooing and still wish to proceed with the procedures mentioned herein:
(a) allergic reaction to numbing, pigment, or after care A&D ointment including but not limited to: pimples, appearing in the treated area, redness, itchiness, pain, raised pigmented areas and rashes;
(b) scarring to pigmented aresa (for clients with keloid conditions);
(c) infection;
(d) MRI complications including but not limited to interfering with the quality of the image, and potential swelling or burning to the area as a result of interactions between the magnetic fields and the pigment; or
(e) Granulomas (small knots or bumps that can form around material the body perceives as foreign, such as tattoo pigment).
2. WAIVER, RELEASE OF LIABILITY AND INDEMNITY
I, inconsideration of Amanda Cheng and Marveleyes Inc. completing the procedure(s) mentioned below, hereby release and further agree not to make any claim or demand, or commence legal action against Marveleyes for damages, compensation, loss or any relief whatsoever in respect of any cause or matter relating to the procedure(s). I further agree that this Agreement shall operate conclusively as an estoppel in the event any such claim, action or proceeding and may be pleaded accordingly.
I further accept full responsibility for and indemnify and hold Marveleyes Inc., and any of its employees and/or contractors, harmless and without liability of any kind whatsoever for the pigment, colaration, and position, of all permanent make up on my eyebrows or eye lines. Tweezing, waxing, threading, or electrolysis will have been performed or completed within (1) week prior to the commencement of the procedure herein consented to.
Having read the above, I acknowledge that all of procedures contemplated and consented to herein have been fully explained and I fully understand the nature, scope and potential risks of the procedure(s) I am consenting to being performed and accept full responsibility for any and all results of the said procedure.
3. PRIVACY
I further acknowledge that any information provided by me to Marveleyes Inc. is being provided solely for the purpose of Marveleyes Inc.'s internal records and under no circumstances is it deemed to be given to Marveleyes Inc. for the purpose fo making or giving any medical advice, decisions, opinions, diagnosis, or representation to me or any other third party.
4. CONSENT