ABPT

No persons under the age 18 can receive  a body piercing, except those under 18 years of age with the expressed written consent of the signing guardian’s signature and match last names and addresses on id cards and birth certificate. All clients with intent of receiving a body piercing must have a government issued photo identification card. No person shall perform a body piercing on any client unless he/she complies with all CDC laws and Prevention's guidelines for "Universal Blood and Body Fluid Precautions" and provides client with the following disclosure: Body piercing is an invasive procedure in which skin is penetrated by a foreign object. There isa risk of exposure to hepatitis B and C and HIV if not proper sterilization techniques are not used. Body piercing may cause allergic reactions to people with sensitivities to metals. Body piercing may involve discomfort or pain for which appropriate anesthesia cannot be legal made available by the person performing the piercing unless the are licensed by the Virginia Health Regulatory Board.  Some of the possible risk includes: discomfort, pain, scarring, bleeding,swelling,infection, nerve damage and there is an increased risk for adolescents during certain stages of development. By Signing below clients hereby release Artisan Body Piercing from any damages to property or body, have read the information above, been informed of all risk and dangers, and has the opportunity to have a third party present. All clients will be pierced with sterile single use disposable needles and clean sterile equipment.

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By selecting yes, you accept full responsibility for the minor above, acknowledging that you are the legal guardian, and give full permission for Artisan Professionals to perform the above mentioned modifications

With the advent of the novel corona virus (Covid-19) pandemic, we have added this form for both you the client and us the technician/beauty expert to both be aware of the added precautions we have taken to protect all of us in this current situation by following CDC guidelines. Safety is our #1 Priority. Below are our specific guidelines:  Please inform the front desk or your artist if you have had any of these symptoms  Fever ,Dry Cough, Shortness of Breath, Muscle pain High Temperature, Bluish lips or face, Cough, Sore Throat Fatigue, Loss of sense of smell, Loss of sense of taste, Chills   X______ I understand that carriers of COVID-19 may not show symptoms but may still be highly contagious.  X______ I understand that based on what is known about COVID-19, the spread is thought to occur mostly from person -to-person via respiratory droplets among close contact. This spread can be 6 feet (more or less).  X______ I confirm that I do not display or currently have any of the symptoms that are listed above.  X______ I have not been around anyone that has been diagnosed with COVID-19 in the past 30 days, nor have I been out of the country in the past 30 days.  X _______My Service provider, or the business owner is not liable for my exposure to the COVID-19 or any other viral disease, Bloodborne Pathogens, or any other disease or disorders.  X______ I understand that other people have been in this room. The room and equipment have all been disinfected prior to and post procedure with a hospital grade disinfectant following manufactures directions.  X______ If you are receiving a Procedure - All of the supplies used are single, sterile 1 time use and will be disposed of properly. All needles are disposed of in our Sharps container per our local Health Dept.  X______ As your service provider, I currently hold a valid ‘Blood Borne Pathogen’ Certificate (BBP). This certification is mandatory through our county/state licensing board and is an annual class certification.  X______ In signing this agreement, I acknowledge and represent that I have read this entire WAIVER OF LIABILITY AND HOLD HARMLESS AGREEMENT. I agree with it, understand it and have voluntarily signed each statement.   I am over the age of 18 years old and am requesting this elective service/procedure. We have the right to refuse service to anyone per our discretion.