By providing my name below, you affirm the following:
 - I have provided accurate and comprehensive information to the best of my knowledge.
 - I commit to informing the technician promptly of any changes to the above information.
 - I acknowledge and comprehend the contraindications associated with the requested treatments.
 - I confirm that I do not have any condition(s) that would render the requested treatment unsuitable.
 - I agree not to hold Beauty Oasis or my technician responsible in case of any inaccuracies in the completed form.