Please read and agree to the terms.
Permanent jewelry is the process that involves the use of welding the jewelry together while on the body. The procedure is generally painless and is performed with your safety in mind. This consent form is intended to inform you of the risks of the procedure and to obtain your informed consent for the procedure.
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I UNDERSTAND THAT ALTHOUGH RARE, AN ALLERGIC REACTION TO THE JEWELRY CAN OCCUR.
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I UNDERSTAND THAT THE WELDING PROCEDURE DOES HAVE SOME RISKS, INCLUDING BUT NOT LIMITED TO POTENTIAL ALLERGIC REACTIONS, IRRITATION, DISCOMFORT, BURNS OR SCARRING.
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I AGREE TO THE JEWELRY CARE. DON'T USE HARSH CHEMICALS. POOL WATER TOO HIGH IN CLORINE CAN POTENTIALLY AFFECT THE METAL.
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EYE PROTECTION IS NECESSARY WHILE HAVING THE PERMANENT JEWELRY PROCEDURE. I WAS ADVISED OF THIS.
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I UNDERSTAND THAT ALTHOUGH THE JEWELRY IS INTENDED TO BE PERMANENT, AND DURABLE IT CAN GET SNAGGED AND BREAK. I UNDERSTAND JEWELRY IN NOT INDESTRUCTIBLE.
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I UNDERSTAND THAT THERE ARE CIRCUMSTANCES THAT MAY REQUIRE THE REMOVAL OF THE PERMANENT JEWELRY. IF THIS OCCURS, SIMPLY CUT THE BRACELET WITH A SCISSOR AND A CLASP CAN BE ADDED FOR AN ADDITIONAL $10.
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BY COMPLETING AND SIGNING THE FORM BELOW I AGREE THAT I READ AND UNDERSTAND THE ABOVE INFORMATION TO THE BEST OF MY KNOWLEDGE. I HAVE THE OPPORTUNITY TO ASK QUESTIONS. I UNDERSTAND THE RISKS AND POTENTIAL SIDE EFFECTS. I AM OVER 18 AND CONSENT TO THE PROCEDURE. IF I AM UNDER THE AGE OF 18, A PARENT OR GUARDIAN MUST SIGN AND FILL OUT THE FORM. I WILL NOT HOLD THE TECHNICIAN, EMPLOYEE, OR AN INDIVIDUAL ASSOCIATED SALTY ISLA, EVA ARNEMANN, OR ANYONE ON PREMISE LIABLE. I AM VOLUNTARILY GIVING UP SUBSTANTIAL LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE EVA ARNEMANN, SALTY ISLA, ASSETS, EMPLOYEES OR ANYONE AT THE PREMISE.
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