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Release Form
Release Form
Release Form
*
required
*
required
I hereby consent to authorize my esthetician Maria Jose Insignares to perform my booked service and future services.Â
*
Required
YES, I AGREE
I have voluntarily elected to undergo my booked treatment, it has been explained to me, along with the risks and hazards.
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Required
YES, I AGREE
Although it is impossible to list every potential risk and complications, I have been informed of possible benefits, and complications. I also recognize there are no guaranteed results and that independent results are dependent upon age, skin condition, lash growth, and lifestyle and there is the possibility I may require further treatments of the treated areas to obtain the expected results at an additional cost.
*
Required
YES, I AGREE
I have read and understand the post-treatment home care instructions. I understand how important it is to follow all instructions given to me for post-treatment care. In the event that I may have additional questions and concerns regarding my treatment or suggested home product/post-treatment care, I I will consult my esthetician immediately. 

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Required
YES, I AGREE
I have been thoroughly explained about my service (lashes extensions, spray tan, body sculpting, facials) and I am fully aware of what the service entitles.Â
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Required
YES, I AGREE
I have been informed by my esthetician, she cannot provide a medical opinion. In case an emergency occurs, it is her advise to seek medical help. If I choose not to, I release my esthetician from any legal obligation to cover any medical treatment i may need.
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Required
YES, I AGREE
All appointments have to be confirmed with 48 hours, if client fails to confirm. her appointment will be cancelled. All proper fees will be applied.
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Required
YES, I AGREE
I am aware there is a $25 fee for appointments cancelled with less than 48 hours notice.
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Required
YES, I AGREE
I am aware there is a $45 fee for same day rescheduled or missed appointments.
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Required
YES, I AGREE
I am aware there is a $50 fee for no call no show.
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Required
YES, I AGREE
I am aware of the prices of my services, and I have agreed to pay in full the day of my appoinment, at the end of the service.
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Required
YES, I AGREE
I hereby consent photos and videos of my service to be photograph. Content will be used for marketing, promotional and training purposes. Photos will be pusblished anywhere my esthetician does business.
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Required
YES, I AGREE
I am aware that it is my esthetician right to discontinue future services and end our professional relationship if she seems fit at the moment.
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Required
YES, I AGREE
I am aware that all reservations fees if asked for my esthetician are non refundable.
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Required
YES, I AGREE
I am aware that all services and treatments after been rendered are non refundable.Â
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Required
YES, I AGREE
As an adult of age, I consent my current and future appointments. I release my esthetician Maria Jose Insignares of any legal and medical responsibility. As a client, I am liable for my own expenses if medical need is necessary.
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Required
YES, I AGREE
If I am asked by my esthecian to serve as a model for any service, monetary value will be chosen by my esthetician and it will be known before service is given. As a model, I agree services will be chosen by my esthetician. Any content, such as photos and videos, will belong to Maria Jose Insignares for promotional, markering and training purposes.
*
Required
YES, I AGREE
I have read all policies, and i have agreed to follow them
*
Required
YES, I AGREE
I provide my signature by typing my name
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