Jagua Consent Form Name * First Name Last Name I consent to recieve jagua and are aware of possble implications of this serice * Yes No I hereby release all liability and hold Sweet Leaf Henna & Tattoo harmless for any outcomes or incidents that may occur related to this service or activity. * Yes No I am aware that jagua application may cause irritation to skin 1-2 weeks after application if allergic to citrus, pineapple, berries or kiwi * Yes No I declare that the information I have entered is true and correct. * Yes No I agree to the Terms & Conditions of Sweet Leaf Henna * Yes No Thank you!