Piercing/Jewelry Change

Let us do this part

Today's Date:

Fri Apr 19 2024 11:05

-Please fill out the form for the person who is getting the piercing/jewelry change.
-Please attach photo ID.
-For minors Birth Certificate, Student ID and parent/guardian ID

Please read and answer

I am not Sick*

I confirm that, I am not sick, I have not been sick in the last 14 days, and I have not been around anyone that has been sick in the last 10 days. This includes but is not limited to Covid-19.

Have You Informed Freyja About any medical Conditions?*

-Are you pregnant or nursing?

-Do you have diabetes, epilepsy, hemophilia, a heart condition, take blood thinning medication, a skin condition that may interfere with the procedure or healing of the piercing?

-Are you the recipient of an organ or bone marrow transplant? If you are, have you taken the prescribed preventive regimen of anti-biotics that is required by your doctor in advance of any invasive procedure such as piercing?

-Do you have any other conditions we should know about?

-If no Conditions please type N/A

Do you have Bloodborne Pathogens?*

Do you have bloodborne pathogens, transmittable diseases or recent illnesses? If have any of the above please notate for the safety of us and others.

Please verbally advise Freyja Piercing before procedure.

Details:

Do you have Allergies?*

Please advise if you have any allergies that may effect our procedure or healing of your piercing.

Please notate the allergies and verbally advise Freyja Piercing before your procedure.

Details:

I have Eaten*

I confirm that I have/will eat within 4 hours before appointment.

This is a Permanent Change*

I acknowledge that the procedure, piercing or jewelry change, can and will result in a permanent change to my appearance. I also understand that if I am having my piercing stretched, there is a possibility that my piercing will not shrink back to the originating size, even after removing jewelry.

I understand the Risks*

I understand that the 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.

I have been fully informed of the risks, associated with changing my jewelry or stretching my healed piercing.

I am not under duress*

I affirm that i am not under the influence of alcohol or drugs, and I am voluntarily getting a piercing without duress.

My questions have been answered*

I have been given th full opportunity to ask any and all questions about the piercing procedure and they have been answered to my total satisfaction.
Please email us with any questions before filling this out completely.
info@freyjapiercing.com

I Waive and Release*

I 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.

No Refunds or Exchanges*

I understand that once the procedure has been preformed and paid for, there are no refunds or exchanges available.
All sales are final.

Attorney Fees*

I agree to reimburse each of the Artist and the Piercing Studio 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 agree that the courts of Anne Arundel County in Maryland 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.

I allow Photography*

I release all rights to any photographs taken of me and the piercing and given consent in advance to their reproduction in print of electronic form. We will always confirm this in person.

Personal Information*

I understand that my information (our information if signing for minor) will not be solicited, sold, or used for any other purpose than for Freyja Piercing and Fine Jewelry's records per Maryland State Health Regulations and Freyja Piercing and Fine Jewelry's insurance policy.

I Will Not Remove My Jewelry Before Recommended*

Removal of jewelry prior to Freyja Piercing's recommended healing time will void Freyja Piercing's guarantee of work. If the channel closes or you, the client, need assistance to re-insert said jewelry, you, the client, will be responsible for any fees related to that service. (i.e. Sports, Job Interview, Etc).

I have read document in full*

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.

AFTERCARE*

This form will email you video links showing you the aftercare. Please review before entering studio.

ALWAYS WASH YOUR HANDS FIRST

Spray a tiny amount of the NeilMed sterile saline wound wash you purchased from us on a gauze pad. Gently press the gauze pad against the piercing for 30 seconds 2 times a day (morning and night). While in the shower, after washing, let the warm water run over the piercing flushing out any chemicals that may have entered the channel.

Do NOT touch, pick at, move or rotate the jewelry at all. Leave it alone as much as possible during the healing process.

LIP AND CHEEK PIERCING CARE:

For the outside of your new lip piercing, follow our Standard Non-Oral Piercings aftercare.

For the inside of your lip, rinse with a chilled distilled water for 30 seconds after every time you eat or drink something for at least 4-6 weeks.

Do NOT play with or rotate the jewelry and leave the piercing alone as much as possible while it is healing.

Jewelry downsizing should occur between 4 and 6 weeks and can generally take between 3 and 6 months to heal.

TONGUE PIERCING CARE:

For cleaning rinse with chilled distilled water for 30 seconds after every meal and drink and every 2 hours in between as well. You will experience a decent amount of swelling and soreness and will need to keep ice on it somewhat consistently for the first 2-4 weeks. You can also use mild anti-inflammatories per your doctors discretion.

We recommend that you stick with softer and less abrasive foods for the first few days until you get used to having the bar in your mouth. From there you can move up as you feel more and more comfortable with it.

Do not play with jewelry at all as this can cause tearing and scarring.

For VCH, HCH and inner labia piercings please just allow water to run over the piercing during the shower to flush out any chemicals from showering.

For all other Male and Female Genital Piercings:
ALWAYS WASH YOUR HANDS FIRST

Spray a tiny amount of the NeilMed sterile saline wound wash you purchased from us on a gauze pad. Gently press the gauze pad against the piercing for 30 seconds 2 times a day (morning and night). While in the shower, after washing, let the warm water run over the piercing flushing out any chemicals that may have entered the channel.

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 18 your parent/guardian will be required

Phone #:*

Email:*

Signature:*

Sign above or type signature:

Photo ID*

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