In consideration for my being cosmetically micro-pigmented by Christine Taylor, I hereby release the practitioner and /or any practitioner’s associated from any and all claims, which may now, or in the future arising from the Cosmetic permanent make up process. I understand that the application of micropigmentation is to be considered permanent and artistic in nature and in all cases experimental and that no results can be guaranteed or certain. I realize there can be now or in the future a risk of infection, allergic reaction, spreading or fanning or migrating of the applied color. I understand that if a sign of infection should occur, contact Color Box and contact a medical provider. Signs of infection can be fever, swelling or unusual redness.

The Cosmetic micropigmentation process has been explained to me and I have been fully informed of the procedure(s) to be performed. All questions have been answered.

I execute this release having read and fully understand it, and do so voluntarily.

In consideration for my being cosmetically micro-pigmented, I hereby release the practitioner and /or any practitioner’s associated from any and all claims, which may now, or in the future arising from the Cosmetic permanent make up process. I understand that the application of micropigmentation is to be considered permanent and artistic in nature and in all cases experimental and that no results can be guaranteed or certain. I realize there can be now or in the future a risk of infection, allergic reaction, spreading or fanning or migrating of the applied color. I understand that if a sign of infection should occur, contact Color Box and contact a medical provider. Signs of infection can be fever, swelling or unusual redness. The Cosmetic micropigmentation process has been explained to me and I have been fully informed of the procedure(s) to be performed. All questions have been answered.
  • I execute this release having read and fully understand it, and do so voluntarily.

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