Body Piercing Release Form I hereby certify that I am choosing to obtain a body piercing, jewelry insertion, or jewelry removal from Just Passing Thru Body Piercing under my own free will and that I am not under the influence of any other person to do so, nor am I under the influence of any type of drug or alcohol. I understand all of the potential short and long term risks involved in body piercing, jewelry insertion, jewelry removal, the procedure and aftercare. I Agree I grant permission to a professional body piercer to pierce my body and insert or remove jewelry. In consideration of their doing so I hereby release Just Passing Thru Body Piercing, it’s owners, it’s employees, and agents from all manner of liabilities, claims, actions and demands, in law or in equity, which I or my heirs have or might have now or hereafter by reason of complying with my request to be pierced, jewelry inserted, or jewelry removed. I Agree I understand that the procedure(s) will be performed with appropriate instruments and techniques. To ensure proper healing, I agree to follow the aftercare procedures outlined to me, until healing is complete. I understand that the body piercer, in performing a piercing, insertion or removal does not act in the capacity of a medical professional. Any and all suggestions made by the piercer are solely suggestions and not a substitute for advice from a medical professional. I Agree In the event that photographs are taken, I hereby give Just Passing Thru Body Piercing, it’s employees, or agents permission to copyright and/or use, and/or publish images of me and/or my piercing. This includes reproductions made through any media format, or for any other lawful purpose whatsoever. I waive any right I may have to inspect the photograph and/or approve the finished product or the use to which it may be applied. Photographs of client's piercing(s) will not be taken without additional verbal consent from client. I Agree I am not under the influence of drugs or alcohol. I Agree I will notify my body piercer at Just Passing Thru Body Piercing if I have any allergies (other than medications or environmental). I Agree I consider myself healthy enough to receive and heal this piercing. I Agree I confirm that I am not presenting any symptoms of illness including: - dry cough
- runny nose
- sore throat
- shortness of breath
- loss of sense of taste or smell
- fever - temperature of 100.4 degrees or more.
I Agree I declare under penalty of perjury, under the laws of the United States of America that the foregoing is true and correct. Today's Date: November 14, 2024 I Agree |