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By checking the box below, answering the following questions, and signing, you agree that:
Being of sound mind, of my own free will, and not under the influence of alcohol and/or drugs, I do hereby release Barbella Studios, High Priestess, HTC Studios, Ten Tigers, or any other DBA of Best Studio Ever, INC., their employees, agents, and/or representatives (hereby collectively referred to as Best Studio Ever) from all liabilities and responsibilities regarding my piercing(s) performed by Best Studio Ever.
In addition I agree not to sue Best Studio Ever in connection with any and all damages, claims, demands, rights and causes of action of whatever kind or nature, based upon injuries or property damage to, or death of myself or any other persons arising from my decision to have piercing related work done, whether or not caused by any negligence of the piercer or Best Studio Ever.
I understand that I am responsible for taking proper care of my piercing(s) and that any infection or damage resulting from not following suggested aftercare procedures is my responsibility and not the responsibility of Best Studio Ever. I have received and had full opportunity to review all written information and instructions regarding piercing risks and proper aftercare procedures. I agree that I have been given full and fair opportunity to ask any and all questions that I may have about obtaining piercings from Best Studio Ever and that all of my questions have been answered to my full and total satisfaction. I further agree to call or otherwise personally contact Best Studio Ever with any questions and or concerns I have during the duration of the healing process or thereafter. Additionally, I understand that Best Studio Ever is not responsible for any possible effect my new piercing(s) may have on any other preexisting piercing(s).
I represent and warrant to Best Studio Ever, under penalty of perjury, that the information supplied on this form is true, complete, and correct to the best of my knowledge and that I understand the terms of this release.

I Agree

 

Please select who will be getting pierced
AdultMinor
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First Client's Name

First Name*

Middle Name

Last Name*

Phone*
First Client's Date of Birth*
First Client's information

Preferred name (if different)

Pronoun (optional)

What is your full address? *
First Client's Signature*
Guardian's Email Address

Email
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
What service will we be providing today?
Please select your service*

If this is for a new piercing, what piercing will you be receiving?
Please answer "yes" or "no" to the following questions.
Have you ever fainted before?*
Does your doctor require antibiotics before dental work?*
Have you: (check all applicable options below) Consumed alcohol, caffeine, ibuprofen, or other blood thinners in the last 24 hours? Not eaten food in the last 4 hours? Been sick recently? Attention: These are issues which could effect you piercing procedure and/or healing process, by checking yes you agree to discuss these concerns with your piercer.*
Please check any options that apply to you
I have not eaten food in the last 4 hours
I have consumed caffeine in the last 24 hours
I have consumed alcohol in the last 24 hours
I have consumed ibuprofen in the last 24 hours
I have been sick recently
Do you have any medical conditions that may potentially complicate the piercing procedure and/or healing process? Such as, but not limited to: (check list applicable conditions below) anemia, diabetes, epilepsy, hemophilia, hepatitis, hypoglycemia, and immune deficiency disease or disorder, if you are nursing (breast feeding) or pregnant, or take blood thinning medications.*

If yes to the previous question, please list applicable conditions
Do you have any known sensitivities or allergies to iodine?*

Please list any other heart, medical, skin conditions, sensitivities, allergies, or diseases.
Guardianship Agreement
Is this form for a minor? If yes, do you understand that by signing on behalf of this minor you are claiming guardianship and that by doing so without proper consent, legal action may be taken against you?*
Please attach a photo of your state or government issued photo ID. For minors, please upload a photo of the parent or guardian's ID.
  
Upload a photo of your ID
Valid file types: JPG, GIF, PNG, and PDF
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Guardian's Name

First Name*

Middle Name

Last Name*

Relationship*

Phone*
Guardian's Date of Birth*
Guardian's information

Preferred name (if different)

Pronoun (optional)

What is your full address? *
Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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