Consent & Release of Liability

CONSENT & RELEASE OF LIABILITY

First Name

Last Name

Phone

Address

Date of Birth

Emergency Contact Name

Emergency Contact Phone

Endless Glow Skin Spa Consulting Group Inc. carries on business as Endless Glow Skin Spa (EGSS). EGSS provides a variety of skin and hair-removal treatments and procedures including but not limited to laser treatments, skin resurfacing, peels, facial treatments, threading, waxing etc. (the "Treatments"). For greater clarity, a Treatment is and includes any service offered by EGSS. EGSS also provides advice with respect to ongoing treatment plans, product information and suggestions related to skin care routines ("Advice").

I ACKNOWLEDGE AND CONFIRM THAT:

I consent to receiving the Treatments for which I have scheduled an appointment or appointments or the Advice for which I have agreed.

If I have any specific questions about Treatments or Advice being offered, provided or suggested to me, I am advised to discuss those directly with my spa practitioner.

Spa practitioners will diagnose, suggest and perform Treatments and provide Advice based on a visual skin assessment as well as any information I provide to them. Spa practitioners are not health practitioners and are not expected to have the ability to diagnose or treat health issues.

If I have any medical conditions or take any medications, it is my responsibility to disclose those to the spa practitioner prior to the commencement of the Treatment or acceptance of Advice. I have the duty to consult a medical practitioner if I believe such consultation is necessary prior to the commencement of any Treatment or acceptance of any Advice from a spa practitioner.

I am aware that there are risks with receiving any Treatment or accepting any Advice offered by EGSS.

I accept all risk or damage that may result from my consent and acceptance of any Treatment or Advice.

I hereby release and forever discharge Endless Glow Skin Spa Consulting Group Inc., Endless Glow Skin Spa and its respective officers & directors, contractors and employees and waive any and all claims, liabilities or damages for injuries that I may experience directly or indirectly from receiving any Treatments or Advice offered by Endless Glow Skin Spa and Endless Glow Skin Spa Consulting Group Inc., as the case may be.

Your Signature

Today's Date

Any spa guests under 19 years of age must have a parent or legal guardian sign the below to accept the terms of this Consent & Release of Liability.

Full Name of Parent/Legal Guardian

Parent/Legal Guardian Signature

Today's Date

By checking this box I confirm this electronic signature has the same legal effect, validity, and enforceability as a manually executed signature.

This Consent & Release of Liability cannot be revoked and survives any right of termination.