PERMANENT JEWELRY WAIVER & POLICIES

PERMANENT JEWELRY WAIVER & POLICIES
Full Name
Phone Number
Format: (000) 000-0000.
Email Address
example@example.com
PacemakerAllergy/Sensitivity to metalAny other condition that woukd make permanent jewelry unsafe?None of the above
Read carefully and check boxes below :
By signing this form, I acknowledge and accept that The Glow Girl os not liable for any medical condition or injury caused by this experience or jewelry.

Do you acknowledge and accept this waiver form? Please sign and date below.
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