Headlight Restoration Consent Form

Full Name Phone Number Vehicle Make / Model / Year

• I authorize the headlight restoration service to be performed on my vehicle.
• I understand the process may not restore headlights to their original factory condition.
• I acknowledge there may be minor imperfections or limitations based on pre-existing headlight condition.
• I understand the restoration may be temporary and longevity depends on aftercare and environmental factors.
• I release the service provider from liability for any damages or outcomes not caused by negligence.

Signature Date