Ear Piercing Consent, Release & Waiver

Ear Piercing Consent & Release Form

851 Jewelry — Downtown Boise

By checking the consent box when booking your appointment, you confirm that you have read this form in full and agree to every statement below. Your booking record, including the date and time of your acceptance, serves as your electronic signature under the Idaho Uniform Electronic Transactions Act.

If the person being pierced is under 18, this form does not apply. A parent or legal guardian must attend the appointment, present government-issued ID, and sign our Minor Piercing Consent & Release Form in the presence of the piercer. Cartilage piercings are not performed on anyone under 14.

Client Acknowledgments

I represent that I am at least 18 years old and am voluntarily requesting a piercing from 851 Jewelry and its Piercer.

I acknowledge that I have been given the opportunity to ask questions regarding the piercing procedure, risks, healing, jewelry, and aftercare, and that I may ask further questions at my appointment before the piercing is performed.

I confirm each of the following:

1. To the best of my knowledge, I am not pregnant. I have disclosed any condition that might affect the healing or safety of this piercing to the 851 Jewelry Piercer.
2. I have truthfully represented my identity and age.
3. To the best of my knowledge, I do not have a known bleeding condition. I have disclosed any medical condition, medication, allergy, or other circumstance that could affect bleeding, healing, or the piercing procedure.
4. I understand I will be pierced using appropriate professional piercing instruments and sterilization procedures.
5. I understand that it is my responsibility to pay for re-piercing if the piercing closes due to jewelry falling out, removal of jewelry, or other circumstances after the original piercing. I understand that piercing service fees are non-refundable.

Health & Medical Acknowledgments

To the best of my knowledge, I do not have any undisclosed medical or skin condition that may make piercing unsafe or interfere with healing, including but not limited to keloid or hypertrophic scarring, psoriasis at the piercing site, or open wounds or lesions at or near the piercing site.

I am not under the influence of alcohol, recreational drugs, or any substance that may impair my ability to participate safely in the procedure.

I have disclosed any relevant physical or medical condition that could affect my well-being as a direct or indirect result of receiving a piercing.

Risks, Healing & Aftercare

I understand that infection, irritation, swelling, bleeding, scarring, migration, rejection, allergic reaction, and other complications are possible risks associated with body piercing.

I acknowledge that aftercare instructions will be provided by 851 Jewelry, and I accept responsibility for following those instructions while the piercing is healing.

I understand that healing times vary depending on the piercing location and individual and that some piercings may take 3–12 months or longer to fully heal.

I understand that 851 Jewelry and its Piercers do not provide medical diagnoses or medical advice. If I experience signs of infection, an allergic reaction, excessive swelling, unusual pain, or another medical concern, I understand that care should be sought from a qualified healthcare professional.

I understand that 851 Jewelry is not responsible for medical expenses incurred in connection with complications related to the piercing, to the extent permitted by applicable law.

Allergies

I have disclosed any known allergies or sensitivities that may be relevant to the piercing, including allergies or sensitivities to metals, latex, soaps, adhesives, antiseptics, or medications.

I understand that 851 Jewelry and the Piercer cannot guarantee that I will not experience an allergic or sensitivity reaction to jewelry or materials used during or after the piercing procedure.

Permanent Change

I understand that this piercing may result in a permanent change to my body or appearance. Removal of jewelry does not guarantee that the pierced area will return completely to its pre-piercing appearance, and permanent marks or scarring may occur.

Jewelry

I understand that the jewelry used for my initial piercing is selected by the Piercer for safe healing. 851 Jewelry's lifetime guarantee covers the jewelry itself and does not cover the piercing, healing outcomes, or jewelry that is lost or removed during healing.

Consent, Assumption of Risk & Release

I voluntarily authorize and consent to receiving the piercing I select at 851 Jewelry.

I understand the nature of the procedure and acknowledge the risks associated with body piercing. I acknowledge and assume the ordinary and inherent risks associated with the piercing procedure and healing process.

To the fullest extent permitted by applicable law, I agree to release and hold harmless 851 Jewelry, its owners, employees, agents, and Piercers from claims arising from the ordinary and inherent risks of the piercing procedure or from failure to follow provided aftercare instructions.

Nothing in this release is intended to waive rights or liabilities that cannot legally be waived.

Electronic Consent

By checking the consent box at booking, I confirm that I have read and understand this Ear Piercing Consent & Release Form; the information I have provided is accurate and complete to the best of my knowledge; I have had the opportunity to ask questions; and I voluntarily authorize the selected piercing procedure. I understand that the Piercer may decline to perform the piercing at the appointment if any information I have provided is found to be inaccurate or if the Piercer determines the piercing cannot be performed safely.

851 Jewelry · 928 W Main St, Boise, ID 83702 · Eight Five One LLC