CONSENT FORM FOR sKIN CONSULTATIONS

ART FAIR FESTIVAL IN CENTRAL PARK, PASADENA, CA

NOVEMBER 19 & 20, 2022

NAME

First Name

Last Name

Email

CHOOSE SERVICE that you would like to receive today:

Skin Analysis = FREE

Skin Analysis + Product Application == $5 ==> After skin analysis, products for your skin type will be applied on your skin OR on your hand in this order: 1) Make-up Remover, 2) Cleanser, 3) Toner, 4) Moisturizer, 5) Sunscreen, 6) Eye & Lip Balm, 7) Aromatherapy Mist.

SIGNATURE of CONSENT: By typing your name in the box below, you agree with the following disclaimer

I agree to have my FREE skin analysis today by Viktoria Martiskova. If I choose to also have a Product Demonstration (on my face OR on my hand), I understand that certain Product Ingredients may cause side effects, such as redness, sensitivity or allergies. I release SkinGlow Salon & Viktoria Martiskova from any and all liability, and I will seek medical attention on my own expense.

Would you like to receive SPECIAL OFFERS from SkinGlow by e-mail?

YES

NO