To my knowledge, I do not have any mental or
medical impairment or disability which might affect my well-being as a direct
or indirect result of my decision to have a Lash Lift and Tint procedure done at this time. I assume full responsibility for
my decision to have this procedure(s) and release ASHLEY SYKORA/MT BROW BAR
from any and all liability both now and in the future.
I am voluntarily receiving this procedure. I understand that there are risks associated with this procedure. Injuries or outcomes may arise from my own or other’s actions. I am assuming all risks of the procedure(s), whether known or unknown to me. I accept full and complete responsibility.
*I have read this document, and I am signing it freely. I understand the legal consequences of signing this document, including (a) releasing ASHLEY SYKORA/MT BROW BAR from all liability, (b) waiving my right and the right of my heirs, assigns, and legal representatives to sue ASHLEY SYKORA/MT BROW BAR, (c) and assuming all risks of participating in the procedure(s).
*