I hereby consent to being a client of Kristen Bechtold, Bronzed and Bladed and to receive treatment by her, for the purpose of executing the procedure known as Permanent Makeup.
I agree to waive and release to the fullest extent permitted by law Kristen Bechtold, Bronzed and Bladed from all liability for any and all claims or causes of action that I, my estate, heirs, executors, or assigns may have for personal injury or otherwise, including direct, indirect, and/or consequential damages, whatever the nature, which result or arise from application of my Permanent Makeup application whether caused by the negligence or fault of either Kristen Bechtold, Bronzed and Bladed to . I accept full responsibility for possible complications that may arise or result during or following the Permanent Makeup procedure.
I understand that the Permanent Makeup procedure carries with them the possibility of complications and consequences associated with this type of cosmetic procedure, including but not limited to: infection, allergic reactions, scarring, inconsistent color, and spreading, fanning, or fading of pigments. I also fully understand the possibility of other complications or consequences not related or indicated within this consent form. I understand that if I have an infection, adverse reaction, or allergic reaction to the procedure, I must notify Kristen Bechtold, Bronzed and Bladed and a health care provider, Department of Health, Drugs, and Medical Devices Division 1-888-839-6676.
I have received written Aftercare Instructions on the care of my Permanent Makeup application while it's healing, and I acknowledge that it is possible that the Permanent Makeup application can become infected; particularly if I do not follow the instructions given to me.
I understand the actual color of the pigments may be modified slightly due to the tone and color of my skin. I understand that over time, the colors and the clarity of my Permanent Makeup will fade due to unprotected exposure to the sun and naturally occurring dispersion of pigment under the skin. The application of Permanent Makeup is likely to result in a permanent change to my appearance and can only be removed by laser or surgical means, which can be disfiguring and/or costly and which in all likelihood will not result in the restoration of my skin to it's exact appearance before being tattooed. I fully understand this is an artistic tattoo process that she was taught and learned as such. Therefore it is not a science but a learned art form, purely artistic in it's nature. I request the Permanent Makeup procedure(s) and fully accept the semi or full permanence of the procedure as well as the possible complications and consequences.
I agree that Kristen Bechtold, Bronzed and Bladed has given me the full opportunity to ask any and all questions about the application of my Permanent Makeup and all questions have been answered to my total satisfaction. I acknowledge that I have been given adequate opportunity to read and understand this document, that it was not presented to me at the last minute, and I understand that I am signing a legal contracted agreement, waiving certain rights to recover against Kristen Bechtold, Bronzed and bladed.
I am over the age of 18 and in sound mind, body, and health. I do not have any type of mental impairment that may affect my judgement. I am not under the influence of drugs, alcohol, or any other mood altering prescriptions. I have the Before/Aftercare Instructions and fully understand the information above.
I understand that all sales are final and there will be no refund by any means if not content with the final result. I can confirm that all the information provided by me is correct and truthful.
Bronzed and Bladed 508 HWY 52 Velva, Nd58790 701-500-8536 bronzedbykristen@gmail.com