18+ CONSENT & LIABILITY WAIVER
BSAPPHIRE PERMANENT JEWELRY
18+ CLIENT CONSENT, RELEASE OF LIABILITY & ASSUMPTION OF RISK
Client Information
Full Name:
*
Date of Birth:
*
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Month
-
Day
Year
Date
Phone:
*
Format: (000) 000-0000.
Email:
*
example@example.com
Consent & Acknowledgement
I understand that all jewelry is final sale.
I understand that this jewelry can break and/or stretch if pulled or caught.
I understand that this jewelry can be safely removed at any time by cutting the jump ring with appropriate tools.
I understand not to look directly at the spark during the welding process. Doing so could severely affect my eyesight.
I acknowledge that I have disclosed any known metal allergies or skin sensitivities prior to my appointment.
I acknowledge that I do not have a pacemaker, a sensitivity or allergy to any metals, or have any other condition that might make this permanent jewelry experience unsafe.
I understand that I may be required to remove my jewelry for certain medical procedures (such as MRI scans or surgeries)
I understand that Bsapphire Permanent Jewelry is not responsible for lost jewelry or charms after my appointment.
Release of Liability
I HAVE CAREFULLY READ THIS "WAIVER AND RELEASE" AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. I EXPRESSLY AGREE TO RELEASE AND DISCHARGE BSAPPHIRE PERMANENT JEWELRY FROM ANY AND ALL CLAIMS OR CAUSES OF ACTION AND I AGREE TO VOLUNTARILY GIVE UP OR WAIVE ANY RIGHT THAT I OTHERWISE HAVE TO BRING A LEGAL ACTION AGAINST BSAPPHIRE PERMANENT JEWELRY FOR PERSONAL INJURY.
Photo Release (Optional)
I authorize photographs and videos of my jewelry to be used for marketing and social media purposes.
*
YES
NO
Client Signature:
*
Date:
*
-
Month
-
Day
Year
Date
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