By signing below I agree that I have read and fully understand this agreement and all information detailed above I understand the procedure and accept the risks. I agree I will assume the risk and full responsibility for any and all injuries, losses, side effects or damages that might occur to me while I am undergoing this procedure. I do not hold the technician, Glitter Gaud Hayla Myke, NIKE or Makeway INC. responsible for any of my conditions that were present but not disclosed at the time of this procedure, which may be affected by the treatment performed today.