NEWLIFE Angel Consent Form

Candidate No. __________________

NAME:
BIRTHDAY:
PHONE NUMBER:
EMAIL ADDRESS:
ADDRESS:

PARTS OF YOUR
FACE/BODY THAT
YOU WANT TO
ENHANCE:

The undersigned is of legal age and on her/his own volition hereby gives her/his
consent for NEWLIFE Aesthetic Plastic Surgery to take photos and videos of
her/him. The undersigned further understands that the videos and photos will
be used for promotional and/or marketing purposes, which will include
publishing or posting the same on social media and offline marketing
platforms.

_____________________________
Signature over Printed Name

Date: _______________________