Color Service Release Form

Ready for rich, luxurious color doll? Great, we need just a little information first.

Name *
Name
I hereby voluntarily agree to accept the service(s) listed below to be performed by any employees or independent contractors of the Salon. In agreeing to have such services performed, I am fully aware that there are potential risks involved in receiving these services, and in the use of cosmetology products, ingredients, equipment and therapeutic procedures, including but not limited to possible allergic, ingredient reactions, irritations or other adverse reactions which might cause injury or illness. Being fully aware of such possible adverse consequences, I hereby assume all risk of such injury or illness and hereby release the Beauty Ecology Organic Salon and any of its employees and independent contractors from and against any and all liability for any harm, injury, illness, damage, claims, demands, actions, causes of action, costs and expenses of any nature that I might have or that may hereafter accrue to me. Further, I affirmatively have notified my service provider with any or all my illnesses or health conditions, including those conditions listed below, which might be aggravated or otherwise adversely affected by the procedures I am obtaining from the Salon or any of its employees or independent contractors. I further understand that it is the policy of the Salon to perform a skin patch test at least forty-eight hours prior to all new color services. I also understand that a negative skin patch test does not mean that a reaction will not still occur during the initial or subsequent services. I understand these risks and if I have any concerns I will seek medical advice prior to any color service. I declare that I am over the age of eighteen and am competent to sign this CONSENT AND RELEASE OF LIABILITY form, and that I execute this document freely, knowingly and voluntarily.
Services to be Performed
Existing Conditions:
Color Patch Test
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