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HKB Hair · Ink · Brows

Waiver & Consent Form - PMU & Tattoo Services

This form is required before your first hair service visit

Client Information

Date of Birth
Year
Month
Day

Studio Policies & Acknowledgements

Service details: Please indicate desired service(s)

Identity & Age Verification

Health & Medical Disclosure

Please disclose if you have any bloodborne viruses:
Please disclose if you have any bloodborne or needle-transmissible pathogens:
Do you have any other relevant medical conditions or medications? Check all that apply.
Do you have any allergies or sensitivities? Check all that apply.

Procedure Risks & Outcomes

Aftercare & Client Responsibility

Photography & Marketing

Privacy & Electronic Communications

Liability Release & Consent

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Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Hours

Monday: 11:15 - 4:30

Tuesday: 11:15 - 4:30

Wednesday: 11:00 - 8:00

Thursday: 11:15 - 8:00

Friday: 11:15 - 4:30

Saturday/Sunday: Closed

Contact me

(Text only please)

587-434-4114

Lake Chaparral,

Calgary, AB, Canada

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