Piercing is a cosmetic, elective procedure. I understand that piercing may cause permanent modification. I, being of sound mind and body, acknowledge that by signing this agreement that I have been fully informed of the inherent risks associated with getting a piercing (a procedure in which jewelry is inserted into the body by way of needle).
I fully understand these risks, known and unknown, can lead to injury, including but not limited to: infection, scarring, keloiding, allergic reactions to jewelry, or any items associated with the procedure. With full understanding of these risks, I still wish to proceed with the piercing and I freely accept and expressly assume any and all risks that may arise from the piercing.
I have been given the full opportunity to ask any and all questions that I might have about the obtaining of a piercing from the staff at SHARKBITE PIERCINGS and that all of my questions have been answered to my full and total satisfaction. I specifically acknowledge here that I have READ this document and fully accept all risk involved.
I acknowledge the the artist and piercing studio have given me instructions on the care of my piercing while it is healing, and I understand and will follow them. I understand that it is possible for the piercing to become infected, particularly if I do not follow the instructions given to me.
I understand that there is a chance of cosmetic defect, or that I may not like the placement. Placement will be marked prior to piercing, but movement may affect final placement. I understand that if I cannot hold still for the piercing procedure, or put either client or practitioner at risk, that the procedure may be stopped prior to completion.
I understand that piercing charges will not be refunded.I understand that the practitioner will not restrain anyone for a piercing procedure.
I acknowledge that the obtaining of my piercing is my choice alone and I consent to application of the piercing to allow any actions or conduct by the artist that is reasonably necessary to perform the piercing procedure.
I acknowledge that it is not reasonably possible for the artist to determine whether I may have an allergic reaction to the metal, antiseptics, or anything involved in the process of the piercing.
After entering designated working area, I agree to release SHARKBITE PIERCINGS, its owner, or any involved parties from ANY and ALL claims, damage claims, damages or legal actions arising from or connected in any way with my piercing or the procedures and conduct used to apply my piercing, or from any negligence from clumsiness by accident or otherwise while in the designated working area including but not limited to: slip and fall, muscle cramp, cuts, bruises, etc.
No jewelry is infallible, and breakage or loss are possible with any jewelry, especially if I am not careful.
Care of jewelry, including keeping it inserted, and occasional tightening, is the responsibility of the client once the studio is left. There are absolutely NO REFUNDS once the jewelry is used/contaminated.
I acknowledge that I have truthfully represented myself, my child, and my relationship with my child with valid photo ID, which may or may not have been photocopied for filing purposes, to the representatives of SHARKBITE PIERCINGS and that I (the parent) am eighteen (18) years or older and that this information presented on the form in its entirety is true and correct.