WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT * I Agree Not Agree Name * First Name Last Name Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Date of Birth * MM DD YYYY “Client” is either an existing or potential customer of FikaUS.com LLC (“Shop”). Client seeks to obtain Permanent Makeup services or Lashes Extensions service from the Shop. Shop and Client both acknowledge that, given the COVID-19 health pandemic, the Client may be at risk for contracting the disease as a result of visiting the Shop and interacting with Shop practitioner even though the Shop has taken reasonable steps to comply with all applicable local and State of Alaska rules regarding the re-opening and operation of its business. Despite such risks, Client nonetheless wishes to obtain services from the Shop and, by entering into this Agreement, agrees to waive any and all claims against the Shop to the fullest extent permitted by law. Client's name: * As an inducement to the Shop to provide the requested services, Client understands and agrees that the Shop shall not be responsible for any claims, damages, costs, or losses arising from, caused by, or in any way related to any claim by Client that he or she contracted COVID-19 from obtaining services at the Shop. * I Agree Not Agree Client HEREBY ASSUMES ALL OF THE RISKS OF OBTAINING SERVICES AT THE SHOP, including, by way of example and not limitation, any risks that may arise from alleged negligence or alleged carelessness on the part of the Shop, its owners in the provision of the services to the Client and/or from property owned, maintained, or controlled by them, or because of their possible liability. Client also hereby WAIVES, RELEASES, AND DISCHARGES from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for Client’s death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to Client as a result of Client obtaining services from the Shop. Client acknowledges that this Waiver of Liability and Hold Harmless Agreement will be used by the Shop to defend itself in response to any claim that Client might bring. * I Agree Not Agree The Client further agree that they will not make any claim, under any circumstances whatsoever, for any personal injuries or property damage or any other damages or injuries sustained by them as a result of their access to the Shop or conducted on the Premises, regardless of the cause of said personal injuries, bodily damage, or other damages or injuries to the Client, their invitees, or guests. * I Agree Not Agree This Agreement will be governed by and construed in accordance with the laws of the State of Alaska. The Parties further consent to personal jurisdiction in Anchorage Municipality County, Alaska and agree that any dispute between them arising out of this Agreement shall be venued in Anchorage Municipality County, Alaska and confined to State of Alaska Jurisdiction. * I Agree Not Agree Entered into and agreed as of today's date by and between the Parties: * MM DD YYYY Appointment's Date * MM DD YYYY I understand and acknowledge that by "Submitting" this form that I am legally agreeing to all of the statements in this document (WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT). Type your name here as signature * First Name Last Name Thank You!We have received your Waiver of Liability and Hold Harmless form.