Consent forms FOR MODELS/CUSTOMERS [your-message] Please fill out Form Makeup By Miss Lu must have the signed form by the date of booking. Makeup By Miss Lu model release form. 65 Arbour Ridge Circle NW Calgary, Alberta T3G 3Y9 Website: www.makeupbymisslu.com I, the undersigned, do hereby consent and agree that Makeup By Miss Lu its employees, or agents have the right to take photographs, videotape, or digital recordings of me during Makeup application, and or during my photoshoot. And to use these in any and all media, now or hereafter known, and exclusively for the purpose of Promoting Makeup By Miss Lu and its employees. I further consent that my name and identity may be revealed therein or by descriptive text or commentary. 1- I do hereby release to Makeup By Miss Lu, its agents, and employees all rights to exhibit this work in print and electronic form publicly or privately. I waive any rights, claims, or interest I may have to control the use of my identity or likeness in whatever media used. I understand that there will be no financial or other remuneration for recording me, either for initial or subsequent transmission or playback. Permission is granted to take before and after photos of my eyes / face which may be used for marketing purposes on a website, salon and media. 2- I also understand that Makeup By Miss Lu is not responsible for any expense or liability incurred as a result of my participation in this recording, including medical expenses due to any sickness or injury incurred as a result. 3. Model compensation for TFP shoots (if applicable) is a free hair or makeup service. I represent that I am at least 18 years of age, have read and understand the foregoing statement, and am competent to execute this agreement. Name: Your Name (required) Date: Address: Phone: Email: Electronic Signature: _____________________________________________________________ *****BY checking box below, you are agreeing to terms and condition. I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature. Step 1. Check the box below * By checking this box and typing my name below, I am electronically signing this form Your Name (required) Δ ALLERGY AWARENESS FORM All brushes and makeup products are kept sanitary and are sanitized between every makeup application. Makeup products used are hypoallergenic. Any skin condition should be reported by the client to the makeup artist prior to application and, if need be, a sample test of makeup may be performed on the skin to test reaction. Client(s) agree to release the makeup artist from liability for any skin complications due to allergic reactions I understand that I will be in direct contact with various cosmetics and products topically applied. I am aware of the following specific chemicals and / or cosmetics of which I am allergic or have a sensitivity to. Client's Name Your Name (required) Date (Please Print) BY checking box below, you are agreeing to terms and I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature. Step 1. Check the box below * By checking this box and typing my name below, I am electronically signing this form Your Name (required) ._________________________________________________ Parent/Guardian Name Your Name (required) Date If under 18 Δ © Copyright 2013 JB Cosmetics, Inc. All rights reserved. www.jblashes.com EYELASH EXTENSIONS CONSENT FORM I Your Name (required) agree to have JB Lashes eyelash extensions applied to my natural eyelashes and/or removed and retouched. By signing this agreement, I consent to the placement and removal of eyelash extensions by the certified eyelash extension professional. I understand there are risks associated with having artificial eyelashes and eyelash extensions applied to, or removed from my natural eyelashes. I further understand that as part of the procedure, eye irritation, eye pain, eye itching, discomfort, and in rare cases, eye infection or blindness can occur. I agree that if I experience any of these medical conditions with my lashes I will contact the certified eyelash extension professional and have the eyelashes removed immediately and consult a physician at my own expense. I understand that even though the certified eyelash extension professional applies or removes the eyelash extensions using the proper technique, the instruments, tapes, cleaners, eye gel pads, adhesives, and removers used may irritate my eyes or require a physician’s follow-up care and subsequent removal of the eyelash extensions. I understand and agree to the care instructions provided by the certified eyelash extension professional for the use and care of my JB Lashes eyelash extensions. I realize and accept the consequences of failure to adhere to these instructions may cause the JB Lashes eyelash extensions to fall out, damage the extensions and/or decrease the time the lashes will last. I understand and consent to having my eyes closed and covered for the duration of the 60-120 minute procedure. I understand that if I have lower eyelash extensions applied that I will have my eyes open and will have instruments, tapes, cleaners, eye gel pads, adhesives, and removers used that may irritate my open eyes, cause them to water and blink in excess, preventing application and/or requiring removal and a physician’s follow-up care and subsequent removal of the eyelash extensions. I am informing the certified eyelash extension professional of the following conditions by marking with a check: □Current use of contact lenses which I agree to remove during eyelash extension application □ Current use of eyedrops of any kind, prescription or over-the-counter □ Current use of anything such as oil-containing sunscreen or moisturizers around the eyes □ Current allergies or sensitivities to instruments, fumes, tapes, cleaners, eye gel pads, adhesives, and removers that could cause my eyes to water and blink in excess □ History of claustrophobia. □ History of recurrent eye or tear duct infections □ History of dry eyes or Sjorgen’s Syndrome □ Recent history of Chemotherapy. □ Other medical conditions which would prohibit or compromise placement and retention of eyelash extensions. I agree to the following eyelash extension post-op and maintenance instructions: • No waterproof mascara • No prescription or over-the-counter eye drops • No oil based products around the eye area • No water can come in contact with the eye area for 24 hours of the application • No tinting or perming of eyelash extensions • No continuous pulling or rubbing of the synthetic lashes This agreement will remain in effect for this procedure and all future procedures conducted by the certified eyelash extension professional. I read English and understand that this consent agreement is legal and binding. I have read and fully understand all information in this agreement. I am over 18 years of age and consent to the agreement and to treatment. I release my technician "Makeup By Miss Lu: Aprille Lu from all liability associated with this procedure, which is performed with the utmost attention to safety and proper application using tools and products that the technician has been professionally trained to use. There is no guarantee for the bonding time of the eyelash extensions. This salon is not responsible for any technician errors. I understand the after care instructions and will do my part to maintain my eyelash extensions. I understand that there are many factors that may affect the life of the eyelash extensions such as water and moisture contact, weather conditions, and activities involving exposure to high temperatures. By signing below, I verify that I have read and understand the above statements and agree to them. (An insurance release form may also need to be signed that provides coverage for this procedure.) Permission is granted to take before and after photos of my eyes / face which may be used for marketing purposes on a website, salon or class. BY checking box below, you are agreeing to terms and condition. I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature. Step 1. Check the box below * By checking this box and typing my name below, I am electronically signing this form Your Name (required) Δ Your Name (required) MODEL AGREEMENT (Short Form) - This document explains what to put in the blank areas ofthe actual document reproduced on page 2. BETWEEN: _________________________________(hereinafter called 'the Photographer') AND: _______________________________________(hereinafter called 'the Model') CONSIDERATION In consideration of something of sufficient value to the circumstances, e.g. money, prints etc., the receipt and sufficiency whereof is hereby acknowledged by the Model, both parties hereto agree as follows: 1. DESCRIPTION OF PHOTOGRAPHS This Agreement applies to any and all photographs of the Model and the Model's Property made by the Photographer on the session dates covered by this agreement (noted below) and to all reproductions of such photographs (herein collectively called 'the Photographs'). 2. USE OF THE PHOTOGRAPHS The Model hereby consents to and authorizes the use of the Photographs by the Photographer and the Photographer's authorized representatives, licensees, successors, and assigns for any purpose whatsoever including without limitation: sale, reproduction in all media, publication, display, broadcast and exhibition for promotion, advertising, trade, art or illustration. The Model agrees the Photographs may be used without further compensation for an unlimited time and that this Agreement is irrevocable. 3. OWNERSHIP AND RIGHTS IN THE PHOTOGRAPHS The Model agrees that the Photographs, the copyright in the Photographs and all other rights in the Photographs or copies or reproductions thereof are the sole property of the Photographer and that the Photographer may protect the copyright or dispose of or authorize the use of any or all such rights in any manner whatsoever. 4. RELEASE OF PHOTOGRAPHER FROM LIABILITY The Model releases the Photographer and all other persons entitled under this Agreement to use the Photographs. from all liability for libel, invasion of privacy, and all causes of action whatsoever in relation to the photographs their making and use, the Model or the Model's property including without limitation any liability for alteration of the Photographs, whether intentional or otherwise, that may occur during the making or subsequent use of the Photographs. The Model acknowledges reading the entire Agreement prior to signing and the Model is familiar with the contents. IN WITNESS WHEREOF the Photographer and the Model or the model's parent or guardian have executed this Agreement, dated: Photography session dates: Photographer:___________________________ print name here Signature _______________________________________ Model : Your Email (required) ___________________________ print name here Signature __________________________________________ (or parent or guardian) Signed at __________________________________ , _____________ on the ______________ day of (city name) (Prov) __________________________ 200 . If Model has not reached the Age of Majority, Parent or Guardian hereby gives their irrevocable permission to the photographer to use the photographs as outlined above. Parent or Guardian must sign above and PRINT Model’s Name below Your Email (required) Subject Your Message Δ