How did you hear about us?

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

General Health * I affirm that to the best of my knowledge I am healthy enough to participate in flesh suspension. I do not have any other medical or skin condition that may interfere with the procedure or healing of the piercings. I am not the recipient of an organ or bone marrow transplant or, if I am, I have taken the prescribed preventive regimen of anti-biotics that is required by my doctor in advance of any invasive procedure such as piercing. I am not pregnant or nursing.

Physician* Are you currently under the care of a physician or dealing with any illness, if so what for?

Medical Issues* Do you have any current, chronic, or history of medical issues? (i.e. Hypoglycemia, Diabetes, Heart Conditions, Epilepsy, Bleeding Disorders, etc. )
It's ok if you do just be sure to let us know.

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).

Medication* Are you currently taking any medications, if so what are they.

Allergies* Do you have any allergies? (food, adhesive, latex, etc.)

History of fainting?*

Alcohol, Dugs, and Duress* I affirm that I am not under the influence of alcohol or drugs, and I am voluntarily participating in flesh suspension without duress.

Risks* That I have been fully informed of the risks, associated with participating in flesh suspension. I understand that these risks, known and unknown, can lead to injury, including but not limited to infection, scarring and keloids, tearing of the skin, lacerations, injuries associated with falls, and allergic reactions. Having been informed of the potential risks associated with participating in flesh suspension, I still wish to participate in flesh suspension and I freely accept all risks that may arise from suspending.

Permanent Change* I acknowledge that participation in flesh suspension will result in a permanent change to my appearance and that my skin may not be restored to its pre-suspension condition.

Aftercare* I affirm that I have given me instructions on the care of my piercings while they are healing, and I understand them and will follow them. I acknowledge that it is possible that the piercings become infected, particularly if I do not follow the instructions.

Photography* I release all rights to any photographs or video taken of me and the suspension and give consent in advance to their reproduction in print or electronic form by Only Flesh and it's agents.

Questions* That both the suspension team members have given me the full opportunity to ask any and all questions about the flesh suspension procedure and they have been answered to my total satisfaction.

Release* TO WAIVE AND RELEASE to the fullest extent permitted by law each of the suspension team members and the venue hosting the flesh suspension 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 suspension team or the venue, or otherwise.

Legal* I agree to reimburse each of the suspension team members, agents acting on their behalf and the venue for any attorney fees and costs incurred in any legal action I bring against either the suspension team or the venue and in which either the suspension team or the venue is the prevailing party. I agree that the courts of Pennsylvania in Allegheny county shall have personal jurisdiction and venue over me and shall have exclusive jurisdiction for the purpose of litigating any dispute arising out of or related to this agreement.

Acknowledgement* 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.