By submitting this form and participating in the procedure:
Please come to your appointment makeup free. Removal of makeup will cut into your appointment.
I understand all skin treatments requires careful maintenance, including regular cleansing and a prescribed home-care routine. There are many variables with skin results and expectations; including natural skin turnover cycle, use of cosmetics and skin care products, skin type, sun-exposure, hormones, lifestyle etc.
I understand the use of non-compliant cosmetic and skin-care products, may affect my skin outcomes and goals. I understand only recommended products should be used for my skin under the guidance of my skin therapist.
Sessions may not be extended (unless time is available) due to lateness or due to interruptions caused by the client.
PERMISSION TO USE PICTURES
I grant Youthphoria, the full right to take, publish and reproduce photographs of me, and my face both before, during and after this procedure, for any advertising, or other purposes, including the right to retouch these photographs. I further expressly assign any copyright in these photographs to Youthphoria. I also grant my consent to use my image and likeness as contained in these photographs for advertising or other purposes, along with any comments I may provide.
You are paying for the skin therapists time, product and other expenses used to provide you with a service. No refunds will be given for any services. If you are unhappy with a service, please contact Youthphoria within 24 hours of your appointment to discuss your concerns. Any concerns addressed after 24 hours or if you failed to follow the proper after-care instructions, will be charged at full service.
Cancellations or re-schedules should be made at least 24 hours in advance of a scheduled session to avoid a penalty. Sessions cancelled less than 24 hours in advance will be charged at 50% to the client.
POTENTIAL RISK AND WAIVER OF LIABILITY
I understand there is an inherent risk associated with having skin treatments, and that notwithstanding the utmost of care, there still exist potential possibility of risks which include, without limitation, of an allergic reaction at any time, sensitisation, redness, itching, swelling, pain, discomfort, irritation, distress and, in rare cases, damage and harm to the skin that are beyond the therapists responsibility/control. It is strongly advised that you seek a doctor.
I also agree to defend, indemnify and hold harmless Youthphoria from any and all claims, actions, expenses, damages and liabilities, including reasonable attorneys’ fees which might be asserted against them as a result of my having skin treatments performed, or my purchase of Youthphoria products.
NO KNOWN MEDICAL CONDITIONS/ INFORMED CONSENT
I have read and completed the client registration form in its entirety and in truth. I acknowledge that I am aware of the potential effects that the treatment may cause to those who have specific medical or skin conditions. I further state that I have no known medical condition that might be aggravated by the procedure or any medical condition that would prevent me from complying with or heeding to the professional’s or Youthphoria’s instructions or these warnings. Any deviations requested by the client from Youthphoria's standard operating procedure will be at the client's own risk. If at any time during the procedure there is discomfort, I agree to immediately notify the therapist so they may remedy the problem, including ending the session if deemed prudent.
I must inform Youthphoria if my medical history changes or if there are any other relevant information.
This agreement will remain in effect for this procedure, and all future procedures conducted by Youthphoria or any other professional conducting business at the premises.
I agree that this Agreement is binding upon me, and my heirs, legal representatives and assigns. I represent that I am over 18 years of age and that I have the right to enter this agreement, or if I am under 18 years of age, I have had my parent or legal guardian consent to this agreement. By adding his or her signature below, he or she ratifies and consents to this procedure under these terms.