RE-PIGMENTATION RELEASE FORM 

had previous permanent makeup done on my (circle one)

I have been informed that there is a possibility
that when needles enter into previous tattooed work, an allergic reaction can be triggered which
can result in oozing, redness, itching and may have to be excised or lasered in order to calm
down the allergy. Knowing this I still volunteer to have permanent makeup applied over
previously done work and 

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