Age Pt. 1 * I am 18 years or older for this service

Age Pt. 2 * If I am under the age of 18, I have parental consent for this service.

Duress * I affirm that I am not under the influence of alcohol or drugs, and I am voluntarily getting a tooth gem without duress.

Risks * I agree that there are risks associated with tooth gems.
If my teeth or any other body part is harmed in any way from having this service done, I myself will be responsible for any charges that will be made for repairs by dental professionals.

Although it is impossible to list every potential risk and complication, I have been or will be informed of possible benefits, risks, and complications.

Questions * By checking this box, I agree to ask any questions that come up about my tooth gem and tooth gem experience, and I know that I have the option to reach out to the artist as well if any future questions come up

Aftercare Pt. 1 * I acknowledge that I will be going over aftercare instructions with my Tooth Gem Tech once the service is completed. I acknowledge that I will be going home with an emailed copy of care instruction for my reference at home in case I forget anything.

I agree to follow them to the best of my ability.

I understand if I do not follow the aftercare and have a loss of a gem, break, etc. I will be charged in full to replace or redo the gem if able

Aftercare Pt. 2 * I understand that the Tooth Gem Artist or ISTARI LLC DBA SKYE TATTOO cannot be held responsible if my body reacts negatively to the dental grade composite.

I also understand that single use disposables will be used for my tooth gem service.

Adhesion * I acknowledge that the tooth gem can only be adhered to organic material - no dentures, veneers, caps, crowns, or fillings.

If I lose a tooth gem in the first 14 days of my initial appointment it will be reapplied at no charge. If it is past 14 days, I will be charged for the jewelry and service again

Symptomatic Allergies/Signs of Sickness * Do you agree that symptoms of illness or severe allergies will require rescheduling of your appointment? Due to health concerns, concerns for our clients, the shop environment and artists, all allergy symptoms or symptoms of being sick ie: coughing, sneezing, runny nose, sore throat etc will require the appointment to be rescheduled or stopped. Even with just having allergy symptoms this still applies because coughing and sneezing can still transmit an asymptomatic Covid-19 infection. This applies for the artist as well and may require your artists to reschedule.

Removal * I understand tooth gems are a temporary service with an average life of 6 months, but can last longer depending on care and maintenance.

If I no longer with to have my tooth gem, I understand I will need to have it removed by a dental professional. I understand that I should not try to remove my tooth gem myself

Photography * I acknowledge that there is the chance of having a picture taken with my consent ONLY.

I release all rights for any photographs or videos taken of me and the piercing. I give consent in advance to their reproduction in print or electronic form. This does NOT mean that every encounter will be filmed or photographed, your artist will ask for verbal consent during the time of the appointment.

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.

Leftover Adhesive * I understand that when my tooth gem falls off naturally, there may still be residual adhesive left on my tooth

Whitening Strips * I understand that if I get my teeth whitened or use whitening strips, the area under my tooth gem will not receive the whitening

Recent Symptoms of Illness * Have you or any member of your household experienced symptoms of a viral infection? Any of the following: Fever, loss of taste or smell, dry cough, running nose, sore throat, or shortness of breath in the past 14 days?

Recent Exposure of Covid-19 * Have you or any family member of your household tested positive, or been exposed to someone who has tested positive, for a viral infection ie: Covid-19 in the last 14 days?

Release * TO WAIVE AND RELEASE to the fullest extent permitted by law each of the Tooth Gem Artist and ISTARI LLC DBA SKYE TATTOO 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 Tooth Gem Artist or ISTARI LLC DBA SKYE TATTOO, or otherwise.

Global Pandemic * I agree that there is a current Global Pandemic; Covid-19, AKA 2019 novel coronavirus, 2019-nCoV, SARS-CoV-2 declared by World Health Organization. Covid-19 is extremely contagious. The virus that causes COVID-19 is believed to spread via droplets via respiratory, Aerosolized transmission via living in the air up to 3 hours, Surface transmission via several days. Spread is more likely to occur during close contact with an infected person symptomatic or asymptomatic.

Attorney Fees * I agree to reimburse each of the Tooth Gem Artist and ISTARI LLC DBA SKYE TATTOO for any attorneys. fees and costs incurred in any legal action I bring against either the Artist or the Piercing Studio and in which either the Artist or the Piercing Studio is the prevailing party. I release Skye Tattoo and it’s agents from liability with regards to any circumstances beyond their control.

Full and Voluntary Assumption of Risk * ISTARI LLC DBA SKYE TATTOO has engaged and is enforcing preventive measures that follow the CDC and States guidelines to reduce the spread of Covid-19. These preventive measures however are not guaranteed as Covid-19 infection can happen to anyone anywhere. Being inside any business and partaking in services could increase your risk of infection.

I am voluntarily making assumption of risk and that I may be exposed to or infected by entering ISTARI LLC DBA SKYE TATTOO. That may result in personal injury, illness, permanent disability and death. I understand that the risk of becoming exposed to or infected by Covid-19 at ISTARI LLC DBA SKYE TATTOO may result from these actions, omissions, or negligence of myself and others including but not limited to ISTARI LLC DBA SKYE TATTOO's employees, contractors and / or representatives.

How to fill out the next section * If you're 18+:
Fill out like you normally would

If you're 16-17:
Please fill out the 'Name', 'Age', and 'Date of Birth' for your PARENT/LEGAL GUARDIAN.
Where it says 'Chosen Name', please put your name there