UDM15
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Waiver of Rights and Assumption of Risk for Injury and Contagious Illness

ASSUMPTION OF RISK FOR INJURY

I acknowledge that waxing, skincare, hairstyling services and/or makeup services received from MOXLA can cause sensitivities and irritation, even in clients who have experienced service(s) successfully in the past. Before services are received, I agree to inform my beauty advisor/brow technician hair stylist  and/or makeup artist of any conditions, medications, allergies, contraindications, procedures or sensitivities that may affect the administration of my service(s) or my body’s reaction to the service(s) including, but not limited to, Accutane or similar (in past year), cracked or broken skin, open lesions, active sunburn on or near treatment areas, injections (in past ten days), skin depigmentation/hyperpigmentation or other skin conditions, pregnancy or breastfeeding, shellfish allergy (patch test recommended), autoimmune diseases, and Melanoma (or lesions suspected of malignancy). I understand and agree it is my responsibility to consult with a physician if I am uncertain whether I should receive service(s).

I understand there are potential risks and sensitivities involved with receiving service(s) such as but not limited to allergic reaction, infection, bruising, redness, swelling, irritation, scabbing, itchiness, dryness or inflammation of the eyes, abnormal lash/brow growth, pimples, raw or peeling skin, rash, hyperpigmentation, and/or hypopigmentation. I voluntarily assume the risks in exchange for receiving MOXLA’s service(s).

ASSUMPTION OF RISK FOR CONTAGIOUS ILLNESS, INCLUDING COVID-19

MOXLA cannot guarantee any safety measure will protect you from exposure to pathogens, viruses, and illnesses including, but not limited to, COVID-19, Monkeypox, and Flu (collectively “contagious illness”) and more.

I agree I will not receive service(s) if, within 5 days of the appointment, (i) I have tested positive for COVID-19 or any other contagious illness; (ii) I have, experienced cold or flu-like symptoms (such as coughing, loss of taste or smell, or fever) or symptoms of any other contagious illness (including skin rash or scabbing); or (iii) I was exposed to someone with contagious illness and/or cold or flu-like symptoms. I understand and agree I will wear a mask at all times during service(s).

I acknowledge the risk of contagious illness (including COVID-19), and understand that contagious illness can be spread from person to person, through the air, and/or by contact with contaminated surfaces and objects. In exchange for receiving MOXLA’s service(s), I voluntarily accept the full risk and responsibility that I may be exposed to and/or at increased risk of contracting and/or spreading contagious illness (including COVID-19), which could lead to severe illness, hospitalization, and even death.

WAIVER OF RIGHTS FOR INJURY AND CONTAGIOUS ILLNESS (INCLUDING COVID)

IN EXCHANGE FOR RECEIVING MOXLA’S SERVICE(S), I HEREBY WAIVE, RELEASE AND FOREVER DISCHARGE MOXLA AND ITS OWNERS, OFFICERS, DIRECTORS, MANAGERS, AFFILIATES, AGENTS, EMPLOYEES, BEAUTY ADVISORS, BROW TECHNICIANS, HAIRSTYLIST, ESTHETICIANS AND REPRESENTATIVES, TO THE FULLEST EXTENT PERMITTED BY LAW, FROM ANY AND ALL CLAIMS, ACTIONS, CAUSES OF ACTION, LIABILITIES, OBLIGATIONS, DAMAGES, OMISSIONS OR COSTS WHICH I OR MY HEIRS, EXECUTORS, ADMINISTRATORS OR ASSIGNS MAY HAVE OR WHICH MAY HEREINAFTERRESULT FROM, RELATE TO OR ARISE FROM MOXLA’S SERVICE(S), INCLUDING BUT NOT LIMITED TO PERSONAL INJURY, PERSONAL ILLNESS, DEATH, PROPERTY LOSS, EXPOSURE TO CONTAGIOUS ILLNESS, INFECTION WITH CONTAGIOUS ILLNESS, SPREAD OF CONTAGIOUS ILLNESS AND/OR ANY OTHER LOSS. FOR GREATER CERTAINTY AND WITHOUT LIMITING THE FOREGOING, I UNDERSTAND THAT THIS MEANS I GIVE UP MY RIGHT TO SUE AND BRING ANY CLAIMS, INCLUDING FOR NEGLIGENCE, AND ANY RIGHT TO SEEK DAMAGES, WHETHER KNOWN OR UNKNOWN, FORESEEN OR UNFORESEEN.

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