{"id":431,"date":"2019-01-25T02:49:56","date_gmt":"2019-01-25T02:49:56","guid":{"rendered":"http:\/\/lusisbrow.com\/?page_id=431"},"modified":"2019-02-04T01:23:02","modified_gmt":"2019-02-04T01:23:02","slug":"lusis-brow-registration","status":"publish","type":"page","link":"http:\/\/lusisbrow.com\/?page_id=431","title":{"rendered":"Lusis Brow Registration"},"content":{"rendered":"<div class=\"wpb-content-wrapper\">[vc_row][vc_column][mk_padding_divider size=&#8221;140&#8243; visibility=&#8221;visible-dt&#8221;][mk_padding_divider size=&#8221;100&#8243;]\n                <div class='gf_browser_gecko gform_wrapper' id='gform_wrapper_1' ><a id='gf_1' name='gf_1' class='gform_anchor' ><\/a><form method='post' enctype='multipart\/form-data'  id='gform_1'  action='\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F431#gf_1'>\n                        <div class='gform_heading'>\n                            <h3 class='gform_title'>LusisBrow Customer Registration<\/h3>\n                            <span class='gform_description'><\/span>\n                        <\/div>\n        <div id='gf_progressbar_wrapper_1' class='gf_progressbar_wrapper'>\n            <h3 class='gf_progressbar_title'>Step 1 of 3\n        <\/h3>\n            <div class='gf_progressbar'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_33' style='width:33%;'><span>33%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform_body'><div id='gform_page_1_1' class='gform_page' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below'><li id='field_1_1' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_1_1_3' >Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix' id='input_1_1'>\n                            \n                            <span id='input_1_1_3_container' class='name_first' >\n                                                    <input type='text' name='input_1.3' id='input_1_1_3' value='' tabindex='2'  \/>\n                                                    <label for='input_1_1_3' >First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_1_1_6_container' class='name_last' >\n                                                    <input type='text' name='input_1.6' id='input_1_1_6' value='' tabindex='4'  \/>\n                                                    <label for='input_1_1_6' >Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id='field_1_2' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label' for='input_1_2' >Date of Birth<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'>\n                            <input name='input_2' id='input_1_2' type='text' value='' class='datepicker medium dmy datepicker_with_icon' tabindex='6'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_2' class='gform_hidden' value='http:\/\/lusisbrow.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_3' class='gfield field_sublabel_below field_description_below' ><label class='gfield_label' for='input_1_3_1' >Address<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_zip' id='input_1_3' >\n                         <span class='ginput_full' id='input_1_3_1_container' >\n                                                <input type='text' name='input_3.1' id='input_1_3_1' value='' tabindex='7'  \/>\n                                                <label for='input_1_3_1' id='input_1_3_1_label' >Street Address<\/label>\n                                            <\/span><span class='ginput_full' id='input_1_3_2_container' >\n                                                <input type='text' name='input_3.2' id='input_1_3_2' value='' tabindex='8'  \/>\n                                                <label for='input_1_3_2' id='input_1_3_2_label' >Address Line 2<\/label>\n                                            <\/span><span class='ginput_left' id='input_1_3_3_container' >\n                                    <input type='text' name='input_3.3' id='input_1_3_3' value='' tabindex='9'  \/>\n                                    <label for='input_1_3_3' id='input_1_3_3_label' >City<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_3.4' id='input_1_3_4' value=''\/><span class='ginput_right' id='input_1_3_5_container' >\n                                    <input type='text' name='input_3.5' id='input_1_3_5' value='' tabindex='10'  \/>\n                                    <label for='input_1_3_5' id='input_1_3_5_label' >ZIP \/ Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_3.6' id='input_1_3_6' value=''\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_4' class='gfield field_sublabel_below field_description_below' ><label class='gfield_label' for='input_1_4' >Phone<\/label><div class='ginput_container'><input name='input_4' id='input_1_4' type='text' value='' class='medium' tabindex='11'   \/><\/div><\/li><li id='field_1_5' class='gfield field_sublabel_below field_description_below' ><label class='gfield_label' for='input_1_5' >Email<\/label><div class='ginput_container'>\n                            <input name='input_5' id='input_1_5' type='text' value='' class='medium' tabindex='12'   \/>\n                        <\/div><\/li><li id='field_1_6' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >How did you hear about us?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><ul class='gfield_checkbox' id='input_1_6'><li class='gchoice_1_6_1'>\n\t\t\t\t\t\t\t\t<input name='input_6.1' type='checkbox'  value='Instagram'  id='choice_1_6_1' tabindex='13'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_6_1' id='label_1_6_1'>Instagram<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_6_2'>\n\t\t\t\t\t\t\t\t<input name='input_6.2' type='checkbox'  value='Google Search'  id='choice_1_6_2' tabindex='14'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_6_2' id='label_1_6_2'>Google Search<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_6_3'>\n\t\t\t\t\t\t\t\t<input name='input_6.3' type='checkbox'  value='Facebook'  id='choice_1_6_3' tabindex='15'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_6_3' id='label_1_6_3'>Facebook<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_6_4'>\n\t\t\t\t\t\t\t\t<input name='input_6.4' type='checkbox'  value='Friend'  id='choice_1_6_4' tabindex='16'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_6_4' id='label_1_6_4'>Friend<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_6_5'>\n\t\t\t\t\t\t\t\t<input name='input_6.5' type='checkbox'  value='Other'  id='choice_1_6_5' tabindex='17'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_6_5' id='label_1_6_5'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                         <input type='button' id='gform_next_button_1_27' class='gform_next_button button' value='Next' tabindex='18' onclick='jQuery(\"#gform_target_page_number_1\").val(\"2\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_2' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_2' class='gform_fields top_label form_sublabel_below description_below'><li id='field_1_7' class='gfield gsection field_sublabel_below field_description_below' ><h2 class='gsection_title'>Consents to Application of Semi-Permanent Makeup Procedure<\/h2><\/li><li id='field_1_8' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Do you have any known allergic reactions or sensitivities to any topical or local anesthetics?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><ul class='gfield_radio' id='input_1_8'><li class='gchoice_1_8_0'><input name='input_8' type='radio' value='YES'  id='choice_1_8_0' tabindex='19'    \/><label for='choice_1_8_0' id='label_1_8_0'>YES<\/label><\/li><li class='gchoice_1_8_1'><input name='input_8' type='radio' value='NO'  id='choice_1_8_1' tabindex='20'    \/><label for='choice_1_8_1' id='label_1_8_1'>NO<\/label><\/li><\/ul><\/div><\/li><li id='field_1_9' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Do you have any allergies (i.e. Polysprorin, Bacitracin, Neosporin, Latex, etc)?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><ul class='gfield_radio' id='input_1_9'><li class='gchoice_1_9_0'><input name='input_9' type='radio' value='YES'  id='choice_1_9_0' tabindex='21'    \/><label for='choice_1_9_0' id='label_1_9_0'>YES<\/label><\/li><li class='gchoice_1_9_1'><input name='input_9' type='radio' value='NO'  id='choice_1_9_1' tabindex='22'    \/><label for='choice_1_9_1' id='label_1_9_1'>NO<\/label><\/li><\/ul><\/div><\/li><li id='field_1_10' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Are you allergic to lidocaine or any other numbing agents?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><ul class='gfield_radio' id='input_1_10'><li class='gchoice_1_10_0'><input name='input_10' type='radio' value='YES'  id='choice_1_10_0' tabindex='23'    \/><label for='choice_1_10_0' id='label_1_10_0'>YES<\/label><\/li><li class='gchoice_1_10_1'><input name='input_10' type='radio' value='NO'  id='choice_1_10_1' tabindex='24'    \/><label for='choice_1_10_1' id='label_1_10_1'>NO<\/label><\/li><\/ul><\/div><\/li><li id='field_1_11' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Are you currently pregnant or breast-feeding?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><ul class='gfield_radio' id='input_1_11'><li class='gchoice_1_11_0'><input name='input_11' type='radio' value='YES'  id='choice_1_11_0' tabindex='25'    \/><label for='choice_1_11_0' id='label_1_11_0'>YES<\/label><\/li><li class='gchoice_1_11_1'><input name='input_11' type='radio' value='NO'  id='choice_1_11_1' tabindex='26'    \/><label for='choice_1_11_1' id='label_1_11_1'>NO<\/label><\/li><\/ul><\/div><\/li><li id='field_1_12' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Do you bruise easily?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><ul class='gfield_radio' id='input_1_12'><li class='gchoice_1_12_0'><input name='input_12' type='radio' value='YES'  id='choice_1_12_0' tabindex='27'    \/><label for='choice_1_12_0' id='label_1_12_0'>YES<\/label><\/li><li class='gchoice_1_12_1'><input name='input_12' type='radio' value='NO'  id='choice_1_12_1' tabindex='28'    \/><label for='choice_1_12_1' id='label_1_12_1'>NO<\/label><\/li><\/ul><\/div><\/li><li id='field_1_13' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Do you have any heart conditions or high blood pressure?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><ul class='gfield_radio' id='input_1_13'><li class='gchoice_1_13_0'><input name='input_13' type='radio' value='YES'  id='choice_1_13_0' tabindex='29'    \/><label for='choice_1_13_0' id='label_1_13_0'>YES<\/label><\/li><li class='gchoice_1_13_1'><input name='input_13' type='radio' value='NO'  id='choice_1_13_1' tabindex='30'    \/><label for='choice_1_13_1' id='label_1_13_1'>NO<\/label><\/li><\/ul><\/div><\/li><li id='field_1_14' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Do you have or do you think it is possible that you have any blood borne communicable disease such as HIV or Hepatitis?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><ul class='gfield_radio' id='input_1_14'><li class='gchoice_1_14_0'><input name='input_14' type='radio' value='YES'  id='choice_1_14_0' tabindex='31'    \/><label for='choice_1_14_0' id='label_1_14_0'>YES<\/label><\/li><li class='gchoice_1_14_1'><input name='input_14' type='radio' value='NO'  id='choice_1_14_1' tabindex='32'    \/><label for='choice_1_14_1' id='label_1_14_1'>NO<\/label><\/li><\/ul><\/div><\/li><li id='field_1_15' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Do you have any serious medical conditions?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><ul class='gfield_radio' id='input_1_15'><li class='gchoice_1_15_0'><input name='input_15' type='radio' value='YES'  id='choice_1_15_0' tabindex='33'    \/><label for='choice_1_15_0' id='label_1_15_0'>YES<\/label><\/li><li class='gchoice_1_15_1'><input name='input_15' type='radio' value='NO'  id='choice_1_15_1' tabindex='34'    \/><label for='choice_1_15_1' id='label_1_15_1'>NO<\/label><\/li><\/ul><\/div><\/li><li id='field_1_16' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Does your skin swell easily?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><ul class='gfield_radio' id='input_1_16'><li class='gchoice_1_16_0'><input name='input_16' type='radio' value='YES'  id='choice_1_16_0' tabindex='35'    \/><label for='choice_1_16_0' id='label_1_16_0'>YES<\/label><\/li><li class='gchoice_1_16_1'><input name='input_16' type='radio' value='NO'  id='choice_1_16_1' tabindex='36'    \/><label for='choice_1_16_1' id='label_1_16_1'>NO<\/label><\/li><\/ul><\/div><\/li><li id='field_1_17' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Do you have diabetes, currently on any form of immunosuppressant therapy or any condition that may delay healing?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><ul class='gfield_radio' id='input_1_17'><li class='gchoice_1_17_0'><input name='input_17' type='radio' value='YES'  id='choice_1_17_0' tabindex='37'    \/><label for='choice_1_17_0' id='label_1_17_0'>YES<\/label><\/li><li class='gchoice_1_17_1'><input name='input_17' type='radio' value='NO'  id='choice_1_17_1' tabindex='38'    \/><label for='choice_1_17_1' id='label_1_17_1'>NO<\/label><\/li><\/ul><\/div><\/li><li id='field_1_18' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Do you suffer from any form of Hyperpigmentary skin condition?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><ul class='gfield_radio' id='input_1_18'><li class='gchoice_1_18_0'><input name='input_18' type='radio' value='YES'  id='choice_1_18_0' tabindex='39'    \/><label for='choice_1_18_0' id='label_1_18_0'>YES<\/label><\/li><li class='gchoice_1_18_1'><input name='input_18' type='radio' value='NO'  id='choice_1_18_1' tabindex='40'    \/><label for='choice_1_18_1' id='label_1_18_1'>NO<\/label><\/li><\/ul><\/div><\/li><li id='field_1_19' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Do you have any known personal history or family history of Methemoglobinemia?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><ul class='gfield_radio' id='input_1_19'><li class='gchoice_1_19_0'><input name='input_19' type='radio' value='YES'  id='choice_1_19_0' tabindex='41'    \/><label for='choice_1_19_0' id='label_1_19_0'>YES<\/label><\/li><li class='gchoice_1_19_1'><input name='input_19' type='radio' value='NO'  id='choice_1_19_1' tabindex='42'    \/><label for='choice_1_19_1' id='label_1_19_1'>NO<\/label><\/li><\/ul><\/div><\/li><li id='field_1_20' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Have you ever had a Herpes Simplex Type 1 infection?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><ul class='gfield_radio' id='input_1_20'><li class='gchoice_1_20_0'><input name='input_20' type='radio' value='YES'  id='choice_1_20_0' tabindex='43'    \/><label for='choice_1_20_0' id='label_1_20_0'>YES<\/label><\/li><li class='gchoice_1_20_1'><input name='input_20' type='radio' value='NO'  id='choice_1_20_1' tabindex='44'    \/><label for='choice_1_20_1' id='label_1_20_1'>NO<\/label><\/li><\/ul><\/div><\/li><li id='field_1_21' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Do you use Retin A or Hydroxyl (Glycolic) Acid preparations?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><ul class='gfield_radio' id='input_1_21'><li class='gchoice_1_21_0'><input name='input_21' type='radio' value='YES'  id='choice_1_21_0' tabindex='45'    \/><label for='choice_1_21_0' id='label_1_21_0'>YES<\/label><\/li><li class='gchoice_1_21_1'><input name='input_21' type='radio' value='NO'  id='choice_1_21_1' tabindex='46'    \/><label for='choice_1_21_1' id='label_1_21_1'>NO<\/label><\/li><\/ul><\/div><\/li><li id='field_1_22' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Are you prone to Keloid scarring, hypertrophic scarring or any other form of excessive scarring conditions?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><ul class='gfield_radio' id='input_1_22'><li class='gchoice_1_22_0'><input name='input_22' type='radio' value='YES'  id='choice_1_22_0' tabindex='47'    \/><label for='choice_1_22_0' id='label_1_22_0'>YES<\/label><\/li><li class='gchoice_1_22_1'><input name='input_22' type='radio' value='NO'  id='choice_1_22_1' tabindex='48'    \/><label for='choice_1_22_1' id='label_1_22_1'>NO<\/label><\/li><\/ul><\/div><\/li><li id='field_1_23' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Do you have a bleeding disorder or take blood thinners?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><ul class='gfield_radio' id='input_1_23'><li class='gchoice_1_23_0'><input name='input_23' type='radio' value='YES'  id='choice_1_23_0' tabindex='49'    \/><label for='choice_1_23_0' id='label_1_23_0'>YES<\/label><\/li><li class='gchoice_1_23_1'><input name='input_23' type='radio' value='NO'  id='choice_1_23_1' tabindex='50'    \/><label for='choice_1_23_1' id='label_1_23_1'>NO<\/label><\/li><\/ul><\/div><\/li><li id='field_1_24' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Are you allergic or sensitive to any metals?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><ul class='gfield_radio' id='input_1_24'><li class='gchoice_1_24_0'><input name='input_24' type='radio' value='YES'  id='choice_1_24_0' tabindex='51'    \/><label for='choice_1_24_0' id='label_1_24_0'>YES<\/label><\/li><li class='gchoice_1_24_1'><input name='input_24' type='radio' value='NO'  id='choice_1_24_1' tabindex='52'    \/><label for='choice_1_24_1' id='label_1_24_1'>NO<\/label><\/li><\/ul><\/div><\/li><li id='field_1_25' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Have you had any form of cosmetic or surgical procedure, Radiotherapy or Chemotherapy at any time within the last 6 months?(botox, injections, laser therapies, facelifts, etc)<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><ul class='gfield_radio' id='input_1_25'><li class='gchoice_1_25_0'><input name='input_25' type='radio' value='YES'  id='choice_1_25_0' tabindex='53'    \/><label for='choice_1_25_0' id='label_1_25_0'>YES<\/label><\/li><li class='gchoice_1_25_1'><input name='input_25' type='radio' value='NO'  id='choice_1_25_1' tabindex='54'    \/><label for='choice_1_25_1' id='label_1_25_1'>NO<\/label><\/li><\/ul><\/div><\/li><li id='field_1_26' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >Do you have any chronic or acute eye disease?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container'><ul class='gfield_radio' id='input_1_26'><li class='gchoice_1_26_0'><input name='input_26' type='radio' value='YES'  id='choice_1_26_0' tabindex='55'    \/><label for='choice_1_26_0' id='label_1_26_0'>YES<\/label><\/li><li class='gchoice_1_26_1'><input name='input_26' type='radio' value='NO'  id='choice_1_26_1' tabindex='56'    \/><label for='choice_1_26_1' id='label_1_26_1'>NO<\/label><\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_1_28' class='gform_previous_button button' value='Previous' tabindex='58' onclick='jQuery(\"#gform_target_page_number_1\").val(\"1\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' \/> <input type='button' id='gform_next_button_1_28' class='gform_next_button button' value='Next' tabindex='57' onclick='jQuery(\"#gform_target_page_number_1\").val(\"3\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_3' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_3' class='gform_fields top_label form_sublabel_below description_below'><li id='field_1_29' class='gfield gsection field_sublabel_below field_description_below' ><h2 class='gsection_title'>The UNDERSIGNED acknowledges that Lusis Brow has explained the nature of procedure, including the risks and dangers inherent therein.  I HEREBY CONSENT to Black Line Brow performing cosmetic tattoo treatment and its procedure on me and in consideration of her doing so, I hereby release and forever discharge Lusis Brow from all demands, damages, actions or  causes of action arising out of the performance of the said treatment procedurs, which I, may heirs, executiors, administrators or  assign can, shall or many have.  No refund on any treatmen.  I accept the above colour, design, and payment terms in this contract.<\/h2><\/li><li id='field_1_31' class='gfield gfield_contains_required field_sublabel_below field_description_below' ><label class='gfield_label'  >I hereby consent to LusisBrow taking photographs of the undersigned both before and after any procedures being undertaken by LusisBrow at the request of the undersigned.  It is further acknowledged that the undersigned authorizes LusisBrow to use such photographs in compiling albums of its various clients for the purpose of showing potential clients the procedures completed.  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