Piercings and Permanent Jewelry - Kara Strope Designs

Piercings and Permanent Jewelry

 

If you are scheduled for a piercing or permanent jewelry, please fill out the waiver below.

For piercings:

I have read this release form, I understand and sign it voluntarily. I acknowledge receipt of, the aftercare instructions and the risk of infection. I understand that I must carefully follow all aftercare instructions. Should a problem occur, I should seek medical attention immediately. I understand that if I am taking blood thinning medications, have diabetes, may be pregnant, or have a medical problem or history, I should  obtain a doctor's approval before a piercing is performed. Pregnant women usually cannot ingest medication should an infection occur.I understand that the piercing earring has a sharp tip and agree to follow the aftercare instructions to avoid tip exposure. I certify that I consent to have my ear(s) pierced by Kara Warr (Kara Strope Designs). I assume all responsibility for injury or loss, of any kind, that may be associated with this ear piercing procedure and agree to release and hold harmless Kara Strope Designs and Studex from any and all actions and liability resulting from or re relating to this ear piercing.

If under 18 years of age, parent or legal guardian is required: I represent and certify that I am over 18 years if age or, if given on behalf of a minor, that I am the parent or legal guardian of such minor and I will hold only myself liable and will indemnify, defend and hold harmless Kara Strope Designs and Studex in the event such minor makes a claim as a result of ear piercing. I understand a minor signing as an adult or and adult falsifying information constitutes a legally fraudulent act.

For permanent jewelry:

I have read this release form and sign it voluntarily. I am not allergic to any metals to my knowledge. I assume all responsibility for any injury or loss that may occur in the process of receiving a permanent jewelry piece.

By sending this form, I agree to the conditions of the service I am recreceiving.