PMU Consent Form | BOOM BEAUTY CO

PMU Authorization and Consent Form

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First Name

Last Name

The undersigned hereby consents to ( Charmaine Uhuad / CU ) taking photographs of the undersigned both before and after procedures being undertaken by ( CU ) at the request of the undersigned. It is further understood, acknowledged and herein authorized for ( CU ) to use photographs for the purpose of ( CU ) compiling an album of its various clients for the purpose of showing prospective clients the procedures completed ( CU ) in its normal course of business. In the event that undersigned does not wish ( CU ) to use said photographs in its prospective clientphoto album then the undersigned shall expressly so state by completing Schedule “A” attached hereto and the undersigned thereafter acknowledges and consents to ( CU ) retaining said photographs solely for its own files for its own use internally in the development and monitoring of all services provided.

The undersigned further accepts full responsibility for and indemnifies and holds Charmaine Uhuad harmless and without liability of any kind whatsoever for the pigment coloration and position of all permanent make-up on its eyebrows, eyeliner and lips. Tweezing, waxing or electrolysis will have been performed or completed within one week prior to the commencement of the procedure herein consented to. The undersigned further also acknowledges that an information provided by the undersigned to ( CU ) is being provided for the purpose of ( CU ) own internal compilation of information and under no circumstances is it deemed to be given for the purpose of Charmaine Uhuad or any of it employees giving or making any medical decisions, opinion, diagnosis or representation to the undersigned or to any other party whatsoever.

The undersigned hereby consents ( CU ) to performing the treatment more specifically described as follows: Authorization And Consent Form And the undersigned in consideration of Charmaine Uhuad completing the above described procedures hereby forever releases and further agrees not to make any claim or demand or commence, maintain or prosecute any action cause or proceeding for damages, compensation, loss or any relief whatsoever against ( CU ) in respect of any cause, matter of thing whatsoever existing or relating to the procedures performed as described herein. The undersigned further agrees that this release shall operate conclusively as an estoppel in the event of any such claim, action or proceeding and may be pleaded accordingly. This release shall be deemed to have made in and shall be constructed in accordance with the Laws of the Province of Alberta. This release shall ensure to the benefit of and be binding upon ( CU ) the undersigned and their respective administrators, legal personal representatives, successors and assigns. In witness of whereof the undersigned has cause this release to be executed on this date. contact with a Covid-19 patient in the last 14 days

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PROMO SPECIAL | $350 PMU BROWS, ANY STYLE *restrictions apply

PMU Authorization and Consent Form

PROMO SPECIAL | $350 PMU BROWS, ANY STYLE
*restrictions apply