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Waiver for iBROW BAR eye brow services. 

WAIVER FORM 

 
9 years and younger ­ No Services permitted whatsoever. 

10 years ­ 17 years ­ Selected services permitted in the presence of their legal guardian to sign the customers release form on their behalf. 
18 years and older ­ Services permitted with the customer's release form signature.  
 
Waxing, Sugaring, Lash Extension, Keratin Lash Lift, Tinting, and Make­Up Application  Customer's Release and Acknowledgment of Risk.
This is a RELEASE for waxing, sugaring,  lash extensions and make­up applications ("Services"). I release, discharge, hold harmless, and absolve iBROWSBYEB/DBA/iBROW BAR/  (the "Released Parties") from any and all actions, suits, demands of any kind whatsoever, and claims of liability of any nature, including claims of negligence, for any damages or injuries, which I, my heirs, executors, administrators and assigns had, now have by reason of any matter connected in any way with the Services. By signing this release, I understand that I am giving up my rights to sue the Released Parties for any claims, damages or injuries relating to the Services.  
 
I understand that I should not have the Services if I am currently using (or have recently used) any of the following products or have recently had any of the procedures, and I confirm the following:  
 
I am NOT currently using Retin A, Retinol, any form of Vitamin A, Antibiotics, Benzoyl Peroxide (clinical grade), Within the past month, I have not used Laser Peel, Phenol Peel, Microdermabrasion (professional grade), Any other kind of peel. Within the last 6 months, I have not used Accutane. 
 
I understand that if I am taking medications, have undergone other procedures, or if I have allergies, any / all of these factors may cause certain effects upon my receipt of the Services. I expressly acknowledge that it is my responsibility to consult my physician to determine if I should receive Services from iBROWSBYEB/DBA/iBROW BAR/. I understand that there is a risk that I may experience an adverse reaction, such as but not limited to, bruising, redness, swelling, scabbing, pimples, raw or peeling skin, and/or rash, from the Services that I have iBROWSBYEB/DBA/iBROW BAR/  to provide to me. I acknowledge that iBROWSBYEB/DBA/iBROW BAR/ has made no particular representation or guarantee about the Services to me. I understand it is my responsibility to follow the advice and direction of my service professional during the Services and after­care advice provided to me. I voluntarily assume any and all risk of loss, damage or injury that I may sustain arising out of or as a result of the Services of any activity incidental thereto, however and whenever the same may occur. I confirm that I was given the opportunity to read and review this Release prior to signing and that I was also given the option to receive a copy of its terms. If any part of this Release and Acknowledgement of Risk Form shall be found invalid or unenforceable then such part shall be considered deleted from this Form, and this Form shall be construed and enforced to the maximum extent permitted by law.  
 
 

 

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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