PERMANENT JEWELRY CONSENT FORM

PERMANENT JEWELRY CONSENT FORM
Name

First NameLast Name
DATE

MonthDayYear
PHONE NUMBER
Do you have any of the following?

PacemakerAllergy/sensitivity to certain metals (specifically sterling silver and gold filled)Any other condition that would make this permanent jewelry experience unsafe?None of the above
All of my questions regarding permanent jewelry have been answered by Lash and Blade to my satisfaction. I understand that all Lash and Blade permanent jewelry is final sale. I understand that this jewelry can break and/or stretch if pulled or caught. I understand that this permanent jewelry can easily be removed. 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. By signing this form, I acknowledge and accept that Lash and Blade is not liable for any medical condition or injury caused by this experience or jewelry.
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DATE

MonthDayYear
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