#103 7228 192 St Surrey BC
778-889-0620
Model Release & Waiver Form (All Services)
Client Name
(Required)
Full Name
Phone
(Required)
Email
(Required)
Date
(Required)
MM slash DD slash YYYY
Model Services Covered:
(Required)
Permanent Makeup (Brows, Lips, Eyeliner)
Laser Hair Removal
Facials / Microneedling / Peels / Skin Treatments
Model Agreement:
I volunteer as a model for the above services.
I understand results may vary and services are performed for educational/training purposes.
I agree that no refunds or corrections are guaranteed as a model.
I understand risks including redness, swelling, pigment change, sensitivity, and healing variations.
Photo/Video Release:
I authorize Laser Club & Beauty Bar to use my photos/videos for training, marketing, and educational use.
(Required)
Yes
No
Liability Waiver:
I understand I am participating voluntarily.
I release Laser Club & Beauty Bar from liability related to training-model procedures.
