Model Waiver & Release Form

Model Waiver & Release Form
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I authorize my Permanent Makeup Artist, to perform the scheduled procedure for today.
I understand this procedure requires me to follow the directions of the Permanent Makeup Artist.
I have been fully informed as to the methods and techniques concerning this procedure.
The known risks of the cosmetic procedure I have chosen have been disclosed to me. Some cases my result in complications. It has been represented to me that no guarantees, warranties, promises, commitments or other statements as to the results of this service have been made, and I acknowledge that I have received no particular representations or guarantees, and I am consenting to the procedure at my own risk.
I have revealed or disclosed all conditions and circumstances regarding my health and health history, medications being taken, and any past reactions to products used or medications taken.
Additional conditions may occur or be discovered during or after the procedure, which could affect my ability to tolerate the procedure.
I, as herein signed, release, give up, acquit, and discharge my Permanent Makeup Artist or any affiliates including any partnership, corporations, or company associated with said individual from any claims or damages of any nature.
I agree to pay any costs of legal services necessary to further affect or confirm said release. I accept full responsibility for these and any other complications, which may arise or result during or following the procedure(s), which are to be performed at my request.
Please read and check YES, to indicate that you have read, understand, and accept the following statement:
I, the client herein signed, certify that I have read and had explained to me and fully understand the above Waiver and Release Form. I certify that I have consulted with the Permanent Makeup Artist and have read all applicable literature given to me. I accept the explanation of potential complications and risks described herein. I certify I am of sound mind, and I am fully capable of executing this waiver and release form for myself. I, the undersigned client, acknowledge and fully understand that there might be other unknown risks not reasonably foreseeable at this time. I, the client herein signed, for the purposes of documentation, hereby consent to “before and after” photographs.
Yes
I, the client herein signed, hereby give the absolute right and unrestricted permission to take, use, and display photographic images of me, through any form of media (print, electronic, broadcast, or otherwise) at any location for art, advertising, media release new articles, marketing, publicity, archival, or any other lawful purpose. I waive any right to royalties or other compensation arising from or related use of photographic images of me.
Yes
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