Permanent Jewelry Consent, Warranty, & Waiver

Permanent Jewelry Consent, Warranty, & Waiver ✨
Permanent Jewelry is a process that involves the use of welding the jewelry together while on your body. The service is generally painless and is performed with your safety in mind. This consent form is intended to inform you of the risks and to obtain your informed consent of the service.
Client

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Date of birth 🧁

MonthDayYear
Date
By checking the following boxes, you confirm that you willingly consent to the following terms and conditions:
I verify that the information I have provided on this form is truthful and accurate. I have read, understand, and checked all the terms and conditions. I have had the opportunity to ask any questions and have received satisfactory answers. I release the spark specialist, owner, salon, or spa from any and all claims and demands including damages, diseases, and or injuries.

I am over the age of 16 and consent to the service. If I am under the age of 16, a parent or guardian must sign.
Date

MonthDayYear
Date
Client Signature
Should be Empty:

Permanent Jewelry Consent, Warranty, & Waiver ✨