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RELEASE AND WAIVER OF LIABILITY

All of my questions regarding permanent jewelry have been answered by La Di Da ATX, LLC to my satisfaction. I understand that all La Di Da ATX, LLC 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 understand how to take proper care of my permanent jewelry. I understand that if anything happens to my jewelry within the first two weeks, La Di Da ATX, LLC will offer to fix or replace it complimentary at their next pop-up or in-studio. I understand that La Di Da ATX, LLC guarantees the weld but not the chain or jewelry itself. 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 La Di Da ATX, LLC is not liable for any medical condition or injury caused by this experience or jewelry. I grant La Di Da ATX, LLC permission to capture images and likeness in photographs, videotapes, and/or digital media. A parent/guardian signature is required if under the age of 18.


 

ACKNOWLEDGEMENT:

I acknowledge that services provided by La Di Da are final once performed. I agree to contact the studio with any concerns before initiating a payment dispute. I understand that any unauthorized chargeback may result in responsibility for the disputed amount and associated fees.



Today's Date: March 3, 2026

First Customer's Name
First Name*
Last Name*
First Customer's Age Acknowledgment*
First Customer's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Customer's Signature*
Second Customer's Name
First Name*
Last Name*
Customer's Date of Birth*
Date of Birth
Third Customer's Name
First Name*
Last Name*
Customer's Date of Birth*
Date of Birth
Fourth Customer's Name
First Name*
Last Name*
Customer's Date of Birth*
Date of Birth
Fifth Customer's Name
First Name*
Last Name*
Customer's Date of Birth*
Date of Birth
Sixth Customer's Name
First Name*
Last Name*
Customer's Date of Birth*
Date of Birth
Seventh Customer's Name
First Name*
Last Name*
Customer's Date of Birth*
Date of Birth
Eighth Customer's Name
First Name*
Last Name*
Customer's Date of Birth*
Date of Birth
Ninth Customer's Name
First Name*
Last Name*
Customer's Date of Birth*
Date of Birth
Tenth Customer's Name
First Name*
Last Name*
Customer's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email
Check to receive information, news, and discounts by e-mail.
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.

I am the parent or legal guardian of the minor named below. I have the legal right to consent to and, by signing below, I hereby do consent to the terms and conditions of this Release and Waiver of Liability.



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*
Last Name*
Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Release and Waiver of Liability*
 Yes, I agree and acknowledge the release and waiver of liability.


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