Release of Liability Form

Contraindication  

 

London Amari Studio welcomes you. If you have any questions or comments, please bring them to our attention. We make every effort to ensure that your experience is an enjoyable one. It is your responsibility to inform the artist of any pre-existing conditions, limitations or specific sensitivities and to inform your artist if you feel any discomfort during your service. You understand and voluntarily accept any and all risk associated with your Lash Extension or Microblading application, services or products.  You hereby release London Amari Studio (including its employees and insureds) from all liability for any injury, including, without limitation, personal, bodily or mental injury, economic loss, or any damages to you resulting therefrom. You further hereby release all the foregoing personnel and entities from all liability arising from any such injury or damage resulting from your failure to disclose any pre-existing condition, limitation, or specific sensitivities, or you fail to inform your artist of any discomfort during your service with any activity or accommodations. Your artist may determine that it is unsafe for you to proceed with or continue your service due to health-related concerns. Signing below acknowledges that he/she read this agreement. 

 

Please help us to ensure a safe and comfortable experience by providing the following Information listed below.

Hypersensitive skin, rash or burn?
Dermatitis or inflamed skin?
Severe acne?
History of keloids?
Accutane or Retinol?
Recent skin resurfacing treatment? (Microdermabrasion or Chemical Peel)
Recent Botox in the forehead or eye area?
Undiagnosed lumps near the eyebrow?
Pregnant?
Had eyebrow tattoo removal within 20-days?
Rosacea?
Viral or bacterial infections?
Radiation treatment within 30 days?
Recent eye surgery?
Chemo treatment within 30 days? (If Yes, must have doctors release)
Blood thinning or clotting issues? (On blood thinning medication?)

4351 MAIN Street, STE. 105 HARRISBURG, NC. 28075

we are located inside Natural bliss body studio, come on in! 

OPENING HOURS

   Sun/Mon/Tue               Wednesday - Friday                 Saturday               

                 Closed                                    11a-6 :00P                                9A-3P                       

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© 2018 by LONDONAMARISTUDIO, LLC.