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This waiver is to obtian photo consent for our records of the Cryoskin procedure. 

Photo Consent: Pictures will be obtained for records. If pictures are used for education and

marketing purposes, all identifying marks will be cropped or removed, unless the treatment is done

on the face.


I (please sign name)

hereby acknowledge that this Photography Release Form (hereinafter referred to as “Form”) became effective on May 6, 2025.

*Please note there are no guarantees with this treatment or any treatment results as ever person has a unique blueprint. Example: Eating Habits, Health History, Lifestyle Factors, Exercise Habits, ETC... 


First Participant's Name

First Name*

Middle Name

Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information
I hereby authorize The Primping Place & Artemis Distribution LLC to edit, change, copy, and make any use of all photographs of me to be used for promotional materials. Including changing the background or size of the photo to be used in a before and after. I hereby acknowledge that I will not be entitled to payment or any sort of charge for such action. I authorize the use of my photograph for, but not limited to, publication on the internet, magazines, journals, books, articles, etc., provided that it is done for lawful purposes. Upon the usage of my photographs, I consent to such materials becoming the sole property of The Primping Place and Artemis Distribution LLC, that I will no longer be entitled to them, provided that it is done for lawful purposes. I hereby release all rights to any, but not limited to, claims, rights, demands, and/or any causes of action by me or my representatives, heirs or anyone else. Furthermore, I hereby waive my right to any royalty or any other compensation with regard to the usage of the photos referred to in this Form.*
No, I would not like my photos to be shared
Yes, I give permission for my photos to be used
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
I hereby authorize The Primping Place & Artemis Distribution LLC to edit, change, copy, and make any use of all photographs of me to be used for promotional materials. Including changing the background or size of the photo to be used in a before and after. I hereby acknowledge that I will not be entitled to payment or any sort of charge for such action. I authorize the use of my photograph for, but not limited to, publication on the internet, magazines, journals, books, articles, etc., provided that it is done for lawful purposes. Upon the usage of my photographs, I consent to such materials becoming the sole property of The Primping Place and Artemis Distribution LLC, that I will no longer be entitled to them, provided that it is done for lawful purposes. I hereby release all rights to any, but not limited to, claims, rights, demands, and/or any causes of action by me or my representatives, heirs or anyone else. Furthermore, I hereby waive my right to any royalty or any other compensation with regard to the usage of the photos referred to in this Form.*
No, I would not like my photos to be shared
Yes, I give permission for my photos to be used
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
I hereby authorize The Primping Place & Artemis Distribution LLC to edit, change, copy, and make any use of all photographs of me to be used for promotional materials. Including changing the background or size of the photo to be used in a before and after. I hereby acknowledge that I will not be entitled to payment or any sort of charge for such action. I authorize the use of my photograph for, but not limited to, publication on the internet, magazines, journals, books, articles, etc., provided that it is done for lawful purposes. Upon the usage of my photographs, I consent to such materials becoming the sole property of The Primping Place and Artemis Distribution LLC, that I will no longer be entitled to them, provided that it is done for lawful purposes. I hereby release all rights to any, but not limited to, claims, rights, demands, and/or any causes of action by me or my representatives, heirs or anyone else. Furthermore, I hereby waive my right to any royalty or any other compensation with regard to the usage of the photos referred to in this Form.*
No, I would not like my photos to be shared
Yes, I give permission for my photos to be used
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
I hereby authorize The Primping Place & Artemis Distribution LLC to edit, change, copy, and make any use of all photographs of me to be used for promotional materials. Including changing the background or size of the photo to be used in a before and after. I hereby acknowledge that I will not be entitled to payment or any sort of charge for such action. I authorize the use of my photograph for, but not limited to, publication on the internet, magazines, journals, books, articles, etc., provided that it is done for lawful purposes. Upon the usage of my photographs, I consent to such materials becoming the sole property of The Primping Place and Artemis Distribution LLC, that I will no longer be entitled to them, provided that it is done for lawful purposes. I hereby release all rights to any, but not limited to, claims, rights, demands, and/or any causes of action by me or my representatives, heirs or anyone else. Furthermore, I hereby waive my right to any royalty or any other compensation with regard to the usage of the photos referred to in this Form.*
No, I would not like my photos to be shared
Yes, I give permission for my photos to be used
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
I hereby authorize The Primping Place & Artemis Distribution LLC to edit, change, copy, and make any use of all photographs of me to be used for promotional materials. Including changing the background or size of the photo to be used in a before and after. I hereby acknowledge that I will not be entitled to payment or any sort of charge for such action. I authorize the use of my photograph for, but not limited to, publication on the internet, magazines, journals, books, articles, etc., provided that it is done for lawful purposes. Upon the usage of my photographs, I consent to such materials becoming the sole property of The Primping Place and Artemis Distribution LLC, that I will no longer be entitled to them, provided that it is done for lawful purposes. I hereby release all rights to any, but not limited to, claims, rights, demands, and/or any causes of action by me or my representatives, heirs or anyone else. Furthermore, I hereby waive my right to any royalty or any other compensation with regard to the usage of the photos referred to in this Form.*
No, I would not like my photos to be shared
Yes, I give permission for my photos to be used
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
I hereby authorize The Primping Place & Artemis Distribution LLC to edit, change, copy, and make any use of all photographs of me to be used for promotional materials. Including changing the background or size of the photo to be used in a before and after. I hereby acknowledge that I will not be entitled to payment or any sort of charge for such action. I authorize the use of my photograph for, but not limited to, publication on the internet, magazines, journals, books, articles, etc., provided that it is done for lawful purposes. Upon the usage of my photographs, I consent to such materials becoming the sole property of The Primping Place and Artemis Distribution LLC, that I will no longer be entitled to them, provided that it is done for lawful purposes. I hereby release all rights to any, but not limited to, claims, rights, demands, and/or any causes of action by me or my representatives, heirs or anyone else. Furthermore, I hereby waive my right to any royalty or any other compensation with regard to the usage of the photos referred to in this Form.*
No, I would not like my photos to be shared
Yes, I give permission for my photos to be used
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
I hereby authorize The Primping Place & Artemis Distribution LLC to edit, change, copy, and make any use of all photographs of me to be used for promotional materials. Including changing the background or size of the photo to be used in a before and after. I hereby acknowledge that I will not be entitled to payment or any sort of charge for such action. I authorize the use of my photograph for, but not limited to, publication on the internet, magazines, journals, books, articles, etc., provided that it is done for lawful purposes. Upon the usage of my photographs, I consent to such materials becoming the sole property of The Primping Place and Artemis Distribution LLC, that I will no longer be entitled to them, provided that it is done for lawful purposes. I hereby release all rights to any, but not limited to, claims, rights, demands, and/or any causes of action by me or my representatives, heirs or anyone else. Furthermore, I hereby waive my right to any royalty or any other compensation with regard to the usage of the photos referred to in this Form.*
No, I would not like my photos to be shared
Yes, I give permission for my photos to be used
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
I hereby authorize The Primping Place & Artemis Distribution LLC to edit, change, copy, and make any use of all photographs of me to be used for promotional materials. Including changing the background or size of the photo to be used in a before and after. I hereby acknowledge that I will not be entitled to payment or any sort of charge for such action. I authorize the use of my photograph for, but not limited to, publication on the internet, magazines, journals, books, articles, etc., provided that it is done for lawful purposes. Upon the usage of my photographs, I consent to such materials becoming the sole property of The Primping Place and Artemis Distribution LLC, that I will no longer be entitled to them, provided that it is done for lawful purposes. I hereby release all rights to any, but not limited to, claims, rights, demands, and/or any causes of action by me or my representatives, heirs or anyone else. Furthermore, I hereby waive my right to any royalty or any other compensation with regard to the usage of the photos referred to in this Form.*
No, I would not like my photos to be shared
Yes, I give permission for my photos to be used
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
I hereby authorize The Primping Place & Artemis Distribution LLC to edit, change, copy, and make any use of all photographs of me to be used for promotional materials. Including changing the background or size of the photo to be used in a before and after. I hereby acknowledge that I will not be entitled to payment or any sort of charge for such action. I authorize the use of my photograph for, but not limited to, publication on the internet, magazines, journals, books, articles, etc., provided that it is done for lawful purposes. Upon the usage of my photographs, I consent to such materials becoming the sole property of The Primping Place and Artemis Distribution LLC, that I will no longer be entitled to them, provided that it is done for lawful purposes. I hereby release all rights to any, but not limited to, claims, rights, demands, and/or any causes of action by me or my representatives, heirs or anyone else. Furthermore, I hereby waive my right to any royalty or any other compensation with regard to the usage of the photos referred to in this Form.*
No, I would not like my photos to be shared
Yes, I give permission for my photos to be used
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
I hereby authorize The Primping Place & Artemis Distribution LLC to edit, change, copy, and make any use of all photographs of me to be used for promotional materials. Including changing the background or size of the photo to be used in a before and after. I hereby acknowledge that I will not be entitled to payment or any sort of charge for such action. I authorize the use of my photograph for, but not limited to, publication on the internet, magazines, journals, books, articles, etc., provided that it is done for lawful purposes. Upon the usage of my photographs, I consent to such materials becoming the sole property of The Primping Place and Artemis Distribution LLC, that I will no longer be entitled to them, provided that it is done for lawful purposes. I hereby release all rights to any, but not limited to, claims, rights, demands, and/or any causes of action by me or my representatives, heirs or anyone else. Furthermore, I hereby waive my right to any royalty or any other compensation with regard to the usage of the photos referred to in this Form.*
No, I would not like my photos to be shared
Yes, I give permission for my photos to be used
Parent or Guardian's Email Address

Email*

Confirm Email*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information
I hereby authorize The Primping Place & Artemis Distribution LLC to edit, change, copy, and make any use of all photographs of me to be used for promotional materials. Including changing the background or size of the photo to be used in a before and after. I hereby acknowledge that I will not be entitled to payment or any sort of charge for such action. I authorize the use of my photograph for, but not limited to, publication on the internet, magazines, journals, books, articles, etc., provided that it is done for lawful purposes. Upon the usage of my photographs, I consent to such materials becoming the sole property of The Primping Place and Artemis Distribution LLC, that I will no longer be entitled to them, provided that it is done for lawful purposes. I hereby release all rights to any, but not limited to, claims, rights, demands, and/or any causes of action by me or my representatives, heirs or anyone else. Furthermore, I hereby waive my right to any royalty or any other compensation with regard to the usage of the photos referred to in this Form.*
No, I would not like my photos to be shared
Yes, I give permission for my photos to be used
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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