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Jagua Consent
Jagua is a citrus fruit that may cause irritation and hives if allergic. By filling out and submitting this form you are confirming that you are not allergic to kiwi, pineapple or citrus fruit.
First Name
Last Name
Email
I consent to recieve jagua service
Jagua temporary tattoo is a citrus fruit and may cause irritation or rash if you are allergic to pineapple, kiwi, or any citrus fruit. Do you consent to have Jagua application knowing that this may cause irritation 1-2 weeks after application?
Choose an option
Do you consent to have a picture taken of your henna after service?
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Do you give your consent to post pictures of service on business social media accounts (e.g: yelp, instagram, company website, etc.) ?
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Date
Initials
I confirm that the information given in this form is true
I accept terms & conditions
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