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Jewelry Change only
Let us do this part
Today's Date:
Fri May 9 2025 11:49
Practitioner:
*
-- Select --
Taylor
Cassi
Vicki
Fill out this form is you are just changing your jewelry OR getting a downsize on one or multiple piercings
Please read and answer
Y
N
Guarantee
*
I understand that my jewelry comes with a lifetime guarantee that covers repairs such as broken pins/threads, missing stones, discolored stones, etc. but the warranty does NOT cover lost jewelry.
Y
N
Allergies
*
Do you have any allergies or medical issues?
Y
N
Bloodborne Pathogens
*
Do you have any bloodborne pathogens, trasmittable diseases or illnesses? (It’s fine if you do, we just want to know for safety reasons).
Y
N
Photographs
*
I understand that if my photo is taken, it may be used as educational and/or promotional material.
Y
N
Jewelry Material
*
I understand that the backings of the jewelry I chose will NOT be gold, but implant grade titanium.
Y
N
Loss or Damage
*
I understand that So Gold Studios, LLC is not responsible for lost or damaged jewelry.
Y
N
Returns or Exchanges
*
I understand that once jewelry is inserted into my body, it cannot be returned or exchanged.
Y
N
Jewelry Style
*
I understand that the jewelry I am getting is body jewelry, not standard ready to wear jewelry (butterfly backs). If I want these converted to ready to wear jewelry, it will be at my own cost and negate any warranties on the jewelry.
Y
N
Medical
*
I fully understand that any employee at So Gold Studios, LLC, does not act in the capacity of a medical professional and any suggestions should not be misconstrued as medical advice.
Y
N
Risks
*
That I have been fully informed of the risks, associated with changing jewelry or getting a downsize. I understand that since downsizing is done before a piercing is fully healed (to help with healing), the risks can be greater. I understand that sometimes the jewelry will need to be upsized if swelling re-occurs. I understand that these risks, known and unknown, can lead to injury, including but not limited to infection, scarring and keloiding and allergic reactions. Having been informed of the potential risks associated with getting a piercing, I still wish to proceed with the piercing and I freely accept all risks that may arise from piercing.
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.
Name:
*
Pronoun:
-select-
He/Him
She/Her
They/Them
He/Them
She/Them
He/She
He/She/They
Address:
Postcode:
Date of birth:
*
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You must be 18 or older
Phone #:
Email:
*
Signature:
*
Sign above or type signature:
Parent/Legal Guardian
I, as custodial parent or legal guardian of the above minor under -18 years of age, hereby consent to the terms and conditions set forth in this release form and I attest that all documentation I have provided is true and accurate.
Guardian's Legal Name:
*
Signature:
*