Pre-Appointment Forms

Photography Release

I hereby give Courtney Beauty its assigns, licensees and legal representatives the irrevocable
right to use my name / photograph / image / audio recording / video recording / and likeness
(“My Image”) in all forms and manner including but not limited to publication on Internet Web
Sites, social media advertising, broadcasts and any other publications as released to or
by Courtney Beauty.

I understand that Courtney Beauty and its affiliates cannot control unauthorized use of My
Image by persons not associated with Courtney Beauty once My Image has been published. I
hereby forever waive any right to inspect or approve any publication of My Image by Courtney
Beauty. I have carefully reviewed and understand the above provisions and agree to be bound
by them.  
I agreeI do not agree

Make Up and Allergies

All brushes and makeup products are kept sanitary and are sanitized between every makeup
application.

Client acknowledges that he/she has or will report any skin condition and/or allergy to the
makeup artist prior to application, and, if needed, request a sample test of makeup to be
performed on the skin to test for any potential adverse reaction prior to a full application of
makeup products.

If Client has any adverse reactions to any makeup products, Client expressly agrees to seek
immediate medical treatment for such adverse reaction. 
Client further agrees to release the makeup artist from any liability from all skin complications
due to allergic reactions.
Tick this box to confirm that you have stated all allergies and or skin conditions/ diseases I confirm

COVID-19

Due to the outbreak of the Coronavirus (COVID-19) Courtney Beauty is doing everything we can to
protect you, our clients, our community and our staff. To this extent we will be adhering to the
Government guidelines and sanitation. We ask that our clients disclose their health history and
continue to implement these sanitation and disinfection procedures.

Symptoms of COVID-19 include: FEVER, FATIGUE, DRY COUGH, and DIFFICULTY BREATHING
By completing this form, you agree that you nor any members of your household have experienced
any of the symptoms listed, you nor any members of your household believe that they have been
exposed to the Coronavirus (COVID-19), you nor any members of your household have been
diagnosed with the Coronavirus (COVID-19) within the past 30 days. Courtney Beauty cannot be held
liable for any exposure to the Coronavirus (COVID-19) caused by misinformation on this from or the
health history provided by the client.

Tick this box to confirm that neither you nor any members of your house hold have had
Coronavirus (COVID-19) or symptoms of Coronavirus (COVID-19) within the past 30 days and to
confirm that neither you nor any members of your house hold have come into contact with
anyone else who have had Coronavirus (COVID-19) or symptoms of Coronavirus (COVID-19) within
the past 30 days I confirm

Digital Signature

Your Email