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jewelry change release form

Let us do this part

Today's Date:

Sat May 4 2024 07:49

Practitioner:*

change out location.:*

Artist signature:*

Jewelry change release form

Please read and answer

Eaten*

Have you eaten in the past 4hrs? It's a good idea to before hand to increase your blood sugar levels.

Bloodbourne Pathogens*

Do you have any bloodbourne pathogens, transmittable diseases or recent illnesses? (It' okay if you do, we just want to know for our and other's safety).

Release*

TO WAIVE AND RELEASE to the fullest extent permitted by law each of the Artist and the Piercing Studio from all liability whatsoever, for any and all claims or causes of action that I, my estate, heirs, executors or assigns may have for personal injury or otherwise, including any direct and/or consequential damages, which result or arise, whether caused by the negligence or fault of either the Artist or the Piercing Studio, or otherwise.

This Document*

I acknowledge that I have been given adequate opportunity to read and understand this document, that it was not presented to me at the last minute, and I understand that I am signing a legal contract.

Photography

I release all rights to any photographs taken of me and the piercing/jewelry and give consent in advance to their reproduction in print or electronic form. (If you do not click this provision, please advise your Artist).

No refund policy *

I understand that checking this box that all jewelry sales are final and may not be refunded or returned. under any circumstances.

Allergies*

I have advised the Piercer of any allergies to metals, latex gloves, soaps, iodine, and/or medications. Please input the allergy you have in the text field. If you have no allergies, please type in N/A.

If any provision, section, subsection, clause or phrase of this release is found to be unenforceable or invalid, that portion shall be severed from this contract. The remainder of this contract will then be construed as though the unenforceable portion had never been contained in this document.

Client Information

I hereby declare that I am of legal age (with valid proof of age) and am competent to sign this Agreement or, if not, that my parent or legal guardian shall sign on my behalf, and that my parent or legal guardian is in complete understanding and concurrence with this agreement.

Legal Name:*

Pronoun:

Chosen name:

Address:

Postcode:

Date of birth:*

If you are under 16 your parent/guardian will be required

Nationality:

Phone #:*

Email:*

Signature:*

Sign above or type signature:

Photo ID

Please take photo(s) of your government issued photo IDs and related paperwork.