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STRETCH MARK/SCAR CAMOUFLAGE - FREE CONSULTATION

Date: October 17, 2021 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

How did you find out about our Stretch Mark/Scar Camouflage Procedure?

What are you looking to accomplish exactly? Areas of Concern? • Please describe areas you'd like to conceal, origin, and any past treatments you have received.

When are you looking to book your Stretch Mark/Scar Camouflage procedure?
I'm aware Full Micropigmentation charges anywhere from $500 to $2000 per area for the camouflage tattoo procedure.*
No
Yes
I'm aware that there is no proven way to completely remove stretch marks or scars. The Stretch Mark & Scar Camouflage Tattoo only helps to conceal and diminish the appearance of stretch marks so that they are less perceptible to the naked eye.*
No
Yes

Please Note

·  Stretch marks and scars must be 2 years or older and lighter than your skin tone to be considered a candidate for the camouflage procedure.

·  All consultations are done virtually by phone, facetime, or in person in Las Vegas, NV.

·  Interest free financing available through Paypal Credit.

·  Touch Ups may be needed. Results may vary.


Available Dates
First Participant's Signature*
Second Participant's Name

First Name*

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

How did you find out about our Stretch Mark/Scar Camouflage Procedure?

What are you looking to accomplish exactly? Areas of Concern? • Please describe areas you'd like to conceal, origin, and any past treatments you have received.

When are you looking to book your Stretch Mark/Scar Camouflage procedure?
I'm aware Full Micropigmentation charges anywhere from $500 to $2000 per area for the camouflage tattoo procedure.*
No
Yes
I'm aware that there is no proven way to completely remove stretch marks or scars. The Stretch Mark & Scar Camouflage Tattoo only helps to conceal and diminish the appearance of stretch marks so that they are less perceptible to the naked eye.*
No
Yes

Please Note

·  Stretch marks and scars must be 2 years or older and lighter than your skin tone to be considered a candidate for the camouflage procedure.

·  All consultations are done virtually by phone, facetime, or in person in Las Vegas, NV.

·  Interest free financing available through Paypal Credit.

·  Touch Ups may be needed. Results may vary.


Available Dates
Third Participant's Name

First Name*

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

How did you find out about our Stretch Mark/Scar Camouflage Procedure?

What are you looking to accomplish exactly? Areas of Concern? • Please describe areas you'd like to conceal, origin, and any past treatments you have received.

When are you looking to book your Stretch Mark/Scar Camouflage procedure?
I'm aware Full Micropigmentation charges anywhere from $500 to $2000 per area for the camouflage tattoo procedure.*
No
Yes
I'm aware that there is no proven way to completely remove stretch marks or scars. The Stretch Mark & Scar Camouflage Tattoo only helps to conceal and diminish the appearance of stretch marks so that they are less perceptible to the naked eye.*
No
Yes

Please Note

·  Stretch marks and scars must be 2 years or older and lighter than your skin tone to be considered a candidate for the camouflage procedure.

·  All consultations are done virtually by phone, facetime, or in person in Las Vegas, NV.

·  Interest free financing available through Paypal Credit.

·  Touch Ups may be needed. Results may vary.


Available Dates
Fourth Participant's Name

First Name*

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

How did you find out about our Stretch Mark/Scar Camouflage Procedure?

What are you looking to accomplish exactly? Areas of Concern? • Please describe areas you'd like to conceal, origin, and any past treatments you have received.

When are you looking to book your Stretch Mark/Scar Camouflage procedure?
I'm aware Full Micropigmentation charges anywhere from $500 to $2000 per area for the camouflage tattoo procedure.*
No
Yes
I'm aware that there is no proven way to completely remove stretch marks or scars. The Stretch Mark & Scar Camouflage Tattoo only helps to conceal and diminish the appearance of stretch marks so that they are less perceptible to the naked eye.*
No
Yes

Please Note

·  Stretch marks and scars must be 2 years or older and lighter than your skin tone to be considered a candidate for the camouflage procedure.

·  All consultations are done virtually by phone, facetime, or in person in Las Vegas, NV.

·  Interest free financing available through Paypal Credit.

·  Touch Ups may be needed. Results may vary.


Available Dates
Fifth Participant's Name

First Name*

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

How did you find out about our Stretch Mark/Scar Camouflage Procedure?

What are you looking to accomplish exactly? Areas of Concern? • Please describe areas you'd like to conceal, origin, and any past treatments you have received.

When are you looking to book your Stretch Mark/Scar Camouflage procedure?
I'm aware Full Micropigmentation charges anywhere from $500 to $2000 per area for the camouflage tattoo procedure.*
No
Yes
I'm aware that there is no proven way to completely remove stretch marks or scars. The Stretch Mark & Scar Camouflage Tattoo only helps to conceal and diminish the appearance of stretch marks so that they are less perceptible to the naked eye.*
No
Yes

Please Note

·  Stretch marks and scars must be 2 years or older and lighter than your skin tone to be considered a candidate for the camouflage procedure.

·  All consultations are done virtually by phone, facetime, or in person in Las Vegas, NV.

·  Interest free financing available through Paypal Credit.

·  Touch Ups may be needed. Results may vary.


Available Dates
Sixth Participant's Name

First Name*

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

How did you find out about our Stretch Mark/Scar Camouflage Procedure?

What are you looking to accomplish exactly? Areas of Concern? • Please describe areas you'd like to conceal, origin, and any past treatments you have received.

When are you looking to book your Stretch Mark/Scar Camouflage procedure?
I'm aware Full Micropigmentation charges anywhere from $500 to $2000 per area for the camouflage tattoo procedure.*
No
Yes
I'm aware that there is no proven way to completely remove stretch marks or scars. The Stretch Mark & Scar Camouflage Tattoo only helps to conceal and diminish the appearance of stretch marks so that they are less perceptible to the naked eye.*
No
Yes

Please Note

·  Stretch marks and scars must be 2 years or older and lighter than your skin tone to be considered a candidate for the camouflage procedure.

·  All consultations are done virtually by phone, facetime, or in person in Las Vegas, NV.

·  Interest free financing available through Paypal Credit.

·  Touch Ups may be needed. Results may vary.


Available Dates
Seventh Participant's Name

First Name*

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

How did you find out about our Stretch Mark/Scar Camouflage Procedure?

What are you looking to accomplish exactly? Areas of Concern? • Please describe areas you'd like to conceal, origin, and any past treatments you have received.

When are you looking to book your Stretch Mark/Scar Camouflage procedure?
I'm aware Full Micropigmentation charges anywhere from $500 to $2000 per area for the camouflage tattoo procedure.*
No
Yes
I'm aware that there is no proven way to completely remove stretch marks or scars. The Stretch Mark & Scar Camouflage Tattoo only helps to conceal and diminish the appearance of stretch marks so that they are less perceptible to the naked eye.*
No
Yes

Please Note

·  Stretch marks and scars must be 2 years or older and lighter than your skin tone to be considered a candidate for the camouflage procedure.

·  All consultations are done virtually by phone, facetime, or in person in Las Vegas, NV.

·  Interest free financing available through Paypal Credit.

·  Touch Ups may be needed. Results may vary.


Available Dates
Eighth Participant's Name

First Name*

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

How did you find out about our Stretch Mark/Scar Camouflage Procedure?

What are you looking to accomplish exactly? Areas of Concern? • Please describe areas you'd like to conceal, origin, and any past treatments you have received.

When are you looking to book your Stretch Mark/Scar Camouflage procedure?
I'm aware Full Micropigmentation charges anywhere from $500 to $2000 per area for the camouflage tattoo procedure.*
No
Yes
I'm aware that there is no proven way to completely remove stretch marks or scars. The Stretch Mark & Scar Camouflage Tattoo only helps to conceal and diminish the appearance of stretch marks so that they are less perceptible to the naked eye.*
No
Yes

Please Note

·  Stretch marks and scars must be 2 years or older and lighter than your skin tone to be considered a candidate for the camouflage procedure.

·  All consultations are done virtually by phone, facetime, or in person in Las Vegas, NV.

·  Interest free financing available through Paypal Credit.

·  Touch Ups may be needed. Results may vary.


Available Dates
Ninth Participant's Name

First Name*

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

How did you find out about our Stretch Mark/Scar Camouflage Procedure?

What are you looking to accomplish exactly? Areas of Concern? • Please describe areas you'd like to conceal, origin, and any past treatments you have received.

When are you looking to book your Stretch Mark/Scar Camouflage procedure?
I'm aware Full Micropigmentation charges anywhere from $500 to $2000 per area for the camouflage tattoo procedure.*
No
Yes
I'm aware that there is no proven way to completely remove stretch marks or scars. The Stretch Mark & Scar Camouflage Tattoo only helps to conceal and diminish the appearance of stretch marks so that they are less perceptible to the naked eye.*
No
Yes

Please Note

·  Stretch marks and scars must be 2 years or older and lighter than your skin tone to be considered a candidate for the camouflage procedure.

·  All consultations are done virtually by phone, facetime, or in person in Las Vegas, NV.

·  Interest free financing available through Paypal Credit.

·  Touch Ups may be needed. Results may vary.


Available Dates
Tenth Participant's Name

First Name*

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

How did you find out about our Stretch Mark/Scar Camouflage Procedure?

What are you looking to accomplish exactly? Areas of Concern? • Please describe areas you'd like to conceal, origin, and any past treatments you have received.

When are you looking to book your Stretch Mark/Scar Camouflage procedure?
I'm aware Full Micropigmentation charges anywhere from $500 to $2000 per area for the camouflage tattoo procedure.*
No
Yes
I'm aware that there is no proven way to completely remove stretch marks or scars. The Stretch Mark & Scar Camouflage Tattoo only helps to conceal and diminish the appearance of stretch marks so that they are less perceptible to the naked eye.*
No
Yes

Please Note

·  Stretch marks and scars must be 2 years or older and lighter than your skin tone to be considered a candidate for the camouflage procedure.

·  All consultations are done virtually by phone, facetime, or in person in Las Vegas, NV.

·  Interest free financing available through Paypal Credit.

·  Touch Ups may be needed. Results may vary.


Available Dates
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*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

How did you find out about our Stretch Mark/Scar Camouflage Procedure?

What are you looking to accomplish exactly? Areas of Concern? • Please describe areas you'd like to conceal, origin, and any past treatments you have received.

When are you looking to book your Stretch Mark/Scar Camouflage procedure?
I'm aware Full Micropigmentation charges anywhere from $500 to $2000 per area for the camouflage tattoo procedure.*
No
Yes
I'm aware that there is no proven way to completely remove stretch marks or scars. The Stretch Mark & Scar Camouflage Tattoo only helps to conceal and diminish the appearance of stretch marks so that they are less perceptible to the naked eye.*
No
Yes

Please Note

·  Stretch marks and scars must be 2 years or older and lighter than your skin tone to be considered a candidate for the camouflage procedure.

·  All consultations are done virtually by phone, facetime, or in person in Las Vegas, NV.

·  Interest free financing available through Paypal Credit.

·  Touch Ups may be needed. Results may vary.


Available Dates
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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