Facial Threading & Eyebrow Services
Eyelash Lifting & Tinting Services
Liability Waiver Form
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Liability Waiver Form
Please select the date of your service for documentation purposes.
Please check the box after reading the statement below. If you have any questions, please ask me before you check the box.
I certify that I have read and understand the statements below.
I am a Fall 2021 Temple University graduate who has been conducting business on and off campus since 2017. I learned how to thread eyebrows in India when I was just 13 years old and received a certificate from the beauty parlor I was taking my classes at. I am self taught in eyebrow tinting, eyelash lifting, and eyebrow lamination. I have been performing eyebrow tinting and eyelash lifting for the past 3 years, with no reports of any allergic reactions or side effects. I use the highest quality of products, imported from Australia, and pay the extra money for these products to ensure that they provide the best outcome with little to no risk. After a recent discussion with my mentors, I've decided to request all of that of my clients sign a Liability Waiver form, to ensure you acknowledge the fact that I am not licensed and not liable for any complications of unintended effects.
Please provide your birthday.
All of the boxes must be checked in order to proceed with the service. If you have any questions, please ask me prior to our service. I agree to the following statements.
I certify that I have been provided with enough information, either through the website, www.browsbykunti.com, or Kunti Patel herself, about the service(s) I am about to receive.
All of my questions, if any, have been answered prior to this service. I have considered any alternatives and selected the best option for me.
Having considered all aspects, I have decided to move forward with this service(s), by my own accord with the sole intention of the anticipated benefits.
I certify that I will not be able to take any legal action against Kunti Patel, but will instead be provided with a full or partial refund, given the circumstance.
I certify I am aware that Kunti Patel is not a licensed professional, but have elected her to provide me the service I am seeking.
Please check the service(s) you will be receiving today.
I certify that I, ______, have read and understand the terms of this service and acknowledge that Kunti Patel is not a licensed professional. I certify that my electronic signature is valid for this purpose and I have provided my date of birth in addition to my electronic signature.
Please sign your full legal name above.