Client Waiver — Oro & Alma

Client Information

Full NamePhone NumberEmail AddressDate of BirthEmergency Contact (optional)

Health & Safety Screening

Please check all that apply.

I have a pacemaker or implanted medical device.I have a known allergy or sensitivity to metals.I have another medical condition that could make permanent jewelry unsafe.None of the above.

Client Acknowledgements

Please check each box to acknowledge.

I have had the opportunity to ask questions about the permanent jewelry process, and all of my questions have been answered to my satisfaction.I understand that all permanent jewelry purchases are final sale.I understand that permanent jewelry may break, stretch, or become damaged if pulled, snagged, or subjected to excessive force.I understand that permanent jewelry is not truly permanent and can be safely removed at any time using wire cutters or by a jeweler if necessary.I understand that my jewelry may need to be removed before certain medical procedures, including MRI scans, surgeries, or emergency medical treatment, and that medical personnel should prioritize my health over preserving the jewelry.I certify that I do not have a pacemaker, metal allergy/sensitivity, or any undisclosed medical condition that would make this service unsafe unless disclosed above.I understand that results and longevity vary depending on lifestyle, activity level, and normal wear.

Age Confirmation

I certify that I am at least 18 years of age, or I am the parent/legal guardian of the minor receiving this service and consent on their behalf.

Photography & Marketing Consent

Please select one.

YES — Oro & Alma LLC may photograph or record my jewelry for use in marketing, social media, or promotional materials.NO — I do not consent to photographs or videos being used for marketing purposes.

Release of Liability

By signing below, I voluntarily assume all ordinary risks associated with wearing permanent jewelry and release Oro & Alma LLC, its owners, employees, and representatives from liability for injuries, allergic reactions, property damage, or losses arising from the permanent jewelry service, except where prohibited by law or resulting from gross negligence or willful misconduct.

Electronic Signature Disclosure. By signing this agreement electronically or by typing my name into this online form, I acknowledge that my electronic signature is legally binding and has the same force and effect as my handwritten signature. I confirm that I have read, understood, and voluntarily agree to all terms contained in this waiver.

Signature

Type your full legal name

Draw your signature

Sign here

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Submitting delivers a signed copy to nataly@shoporoandalma.com.