First time client form

First Time Client Form

This form is for first time clients - if you have filled this out before, you do not need to fill it out again.
Minors Policy & Age Requirement

Permanent jewelry is available only to clients age 6 and older. All minors under 16 must have a parent or legal guardian present at the appointment. I do not offer permanent jewelry for infants or toddlers under any circumstances. The minor must be able to sit still and safely participate in the process.
Yes, I Understand.
Full Name (client)*

First NameLast Name
Guardian Name (if applicable):

First NameLast Name
Contact Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Clients Date Of Birth*

MonthDayYear
Which event do you plan on attending/ are you attending? (name of vendor show or business I am setting up at)*
Yes, I Understand.
WARRANTY DISCLAIMER: Please be aware that we do NOT replace bracelets that break into multiple pieces. However, if your bracelet breaks at the jump ring resulting in a single clean break and the chain remains in tact, we will reattach it for you at no cost. We appreciate your understanding and encourage you to handle your jewelry with care. DO YOU UNDERSTAND THE TERMS AND CONDITIONS LISTED ABOVE?*

Yes, I Understand.
LIABILITY DISCLAIMER: Ember and Co. is not responsible for any allergic reactions, injuries, or adverse effects that may arise from wearing our permanent jewelry. This includes but is not limited to accidental burns, pinches, or skin irritation during the welding process. By purchasing and wearing our jewelry, you agree to assume all risks associated with its use. We do not assume any liability for: -Allergic reactions to metals or other materials used in our jewelry. -Injuries resulting from the wearing or handling of our jewelry. -Any other adverse effects or incidents that may occur while using our jewelry. By accepting this agreement, you acknowledge and agree that Ember and Co. will not be held liable for any claims, damages, or losses arising from the use of our jewelry. In no event shall Ember and Co. be liable for any indirect, incidental, or consequential damages arising out of or in connection with the use of our products. DO YOU UNDERSTAND THE TERMS AND CONDITIONS LISTED ABOVE?*

Yes, I Understand.
TARNISH RESISTANT: While our 14k Gold Filled and Sterling Silver jewelry is designed to be tarnish - resistant, it is not completely tarnish - proof (just like most metals used to make jewelry). Exposure to certain elements and environments (listed in the next disclaimer) can still cause tarnishing over time. By purchasing your jewelry, you acknowledge this characteristic and agree to follow proper care guidelines to maintain the appearance and longevity of your piece. DO YOU UNDERSTAND THE TERMS AND CONDITIONS LISTED ABOVE?*

Yes, I Understand.
MAINTENANCE AND CARE DISCLAIMER: To ensure the longevity of your jewelry, please follow these care instructions: -Avoid direct contact with lotion, perfume, harsh chemicals and extreme temperatures. -To remove, cut welded jump ring with scissors. -Avoid excessive chlorine / salt water exposure. -Clean your jewelry regularly with a soft cloth or jewelry cleaner to maintain it's shine. -An individuals body chemistry can tarnish chains over time. -Sand may give the appearance of your chain tarnishing, simply use a cleaning cloth/ jewelry cleaner to bring back the shine. However, avoid excessive contact with sand. DO YOU UNDERSTAND THE TERMS AND CONDITIONS LISTED ABOVE?*

Yes, I Understand.
Yes, I Understand.
Yes, I Understand.
Yes, I Understand.
YES
Should be Empty:

First Time Client Form

Minors Policy & Age Requirement