The Gi Spot
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    Permanent Makeup Consent Release Form

    I acknowledge by signing this form that I have been given the full opportunity to ask any and all questions I might have about obtaining a permanent makeup/tattoo from Gigi Strength at The Gi Spot Beauty Salon. I acknowledge that all my questions have been answered to my full and total satisfaction. I am aware that this record will remain on the premise for a minimum of three (3) years and will be available for review by the Fremont County Health Department and other state regulatory agencies. I specifically acknowledge that I have been advised of the facts and matters set forth below, and I agree as follows:
    I have been fully informed of the risks of permanent makeup including but not limited to infection, scarring, difficulties in detecting melanoma, and allergic reactions to permanent makeup pigment, latex gloves, and antibiotics. Having been informed of the potential risks associated with getting a permanent makeup service, I still wish to proceed with permanent makeup application and I assume any and all risks that may arise from receiving a permanent makeup procedure.
    Type your name in the box below to consent to the Permanent Makeup Procedure. You will be asked to review & sign again at your appointment.
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1705 Fremont Dr, Cañon City, CO 81212
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