Lori & Co
Permanent Jewelry FAQ and Waiver Signature
Read the FAQ and Waiver here:
https://docs.google.com/document/d/1FJSeQc7bSOEWRhUm_1kddSHAxGcSXFUQDhZQG7Smo_s/edit?usp=sharing
Name
*
First Name
Last Name
Email
*
example@example.com
Date of Appointment
*
-
Month
-
Day
Year
Date
I have read and agree with the Lori & Co. Permanent Jewelry Waiver
*
Please Select
Yes
No
I have read Lori & Co.‘S Permanent Jewelry FAQs and policy and agree to receiving the service
*
Please Select
Yes
No
I am above the age of 8
*
Please Select
Yes
No
I give permission to the Lori & Co. staff to take pictures of the Jewelry on to post on social media for advertisement purposes
*
Please Select
Yes, I give my permission
I do not give my permission
Signature of participant
*
Signature of Guardian (If 8-15 years old)
Submit
Submit
Should be Empty: