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BEFORE YOUR SESSION
Consent & Liability Waiver
Client Information
Full Name
Date of Birth
Address
City
State
Postal Code
Phone Number
Photo ID
Tap to upload a photo of your ID
JPG or PNG, max 10MB
Acknowledgment
Health Screening
HIV/AIDS
Hepatitis
Diabetes
Heart Problems
Seizures
Infections
Blood Disorders
Blood Thinners
Faint or Dizzy Spells
Pregnant
Nursing
Any other known allergies, medications, medical conditions, or contagious diseases?
Signature
SIGN HERE
Clear signature
Full Name (printed)
Date
ELECTRONIC SIGNATURE & LEGAL NOTICE
Submit & Send to Studio