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Jewelry Insertion Waiver

Please Read Policies

Consent

-I hereby consent to artist/employees/guest artists/piercers of Nocturna Tattoo and Piercing to adjust, clean, and or insert jewelry.

-I agree that I have given the full opportunity to ask any questions I may have. I here by acknowledge and agree to the following:


Deposit policy 

-Deposits are up to the discretion of the individual artist. 

-Deposits are non refundable.

-Deposits are credited toward the final cost.

-Any cancellation, no-show or failure to provide of reschedule will forfeit the deposit.


Acknowledgment of Risk

Nocturna Tattoo and Piercing takes all reasonable precautions for your safety. This includes observing commonly acknowledged and appropriate standards techniques, instruments, tools, and jewelry.

-We are not liable for any irritation, damage or wear on your piercing or jewelry.

-I understand that cleaning and insertion is an invasive procedure. 

-Nocturna Tattoo and Piercing is not responsible for damage to outside jewelry when cleaned, sterilized, and or anodized.


No Medical Advice

I understand that artists/employees/guest artists/piercers of Nocturna Tattoo and Piercing are not medical professionals. Any suggestions or advice from artists/employees/guest artists/piercers of Nocturna are those made by artists, and not medical advice.


Client responsibility for aftercare

Aftercare instructions will be given by artists/employees/guest artists/piercers of Nocturna Tattoo and Piercing. Strict adherence to this advice is required to ensure quality and healing.

-We are not responsible for loss of jewelry. 

-Client is reponsible for checking, cleaning and fastening jewelry and piercings.

First Participant's Name
First Name*
Middle Name
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
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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.
Parent or Guardian's Name
First Name*
Middle Name
Last Name*
Relationship*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
Parent or 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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