championship model consent form

                                                                                        Vegas PMU Online World Championship

                                                                                        Possible Risks, Hazards, or Complications

Pain: There can be pain even after the topical anesthetic has been used. Anesthetics work better on some people than on others.

Infection: Infection is very unusual. The areas treated must be kept clean, and only freshly cleaned hands should touch the areas. See “Aftercare” sheet for instructions on care.

Uneven Pigmentation: This can result from poor healing, infection, bleeding, or many other causes. Your follow-up appointment will likely correct any uneven appearance.

Asymmetry: Every effort will be made to avoid asymmetry, but our faces are not symmetrical so adjustments may be needed during the follow-up session to correct any unevenness.

Excessive Swelling or Bruising: Some people bruise or swell more than others. Ice packs may help reduce the swelling. The swelling or bruising typically disappears in 1-5 days. Some people don’t bruise or swell at all.

Anesthetics: Topical anesthetics are used to numb the area to be tattooed. Lidocaine, Prilocaine, Benzocaine, Tetracaine, and/or Epinephrine cream and/or liquid are used. If you are allergic to any of these, please inform me now.

This Procedure should be considered permanent: it can only be removed with a surgical procedure and any effective removal may cause permanent scarring and disfigurement.

The Alternative to These Possibilities is to use Traditional Cosmetics and NOT Undergo the Semi‐Permanent Eyebrow Procedure.

I certify that I have read or have read to me the contents of this form. I understand the risks and alternatives involved in this procedure(s). I have had the opportunity to ask questions, and all of my questions have been answered. I acknowledge that I have reviewed and approved the material given to me, and I authorize my Permanent makeup Artist to perform on my body the desired procedure today.

Print Name: ______________________

Signature:_______________________             Date _______________

                                                                                        VEGAS PMU ONLINE WORLD CHAMPIONSHIP

                                                                                              Photography Release Consent

We would like your permission to use these photos for advertising. Your consent is necessary regarding this. Please circle and indicate with your signature if you would like your photos used or not used in advertising.

YES, feel free to use them NO, please do not use them

I have read, understood, and agreed to the above instructions.

Print Name: ________________________

Signature: _________________________   Date: ________