←
Jewelry Repairs
Let us do this part
Today's Date:
Mon Nov 18 2024 12:46
Practitioner:
*
-- Select --
Kelly Carvara
Rhett Mercury
Corky Pagleno-Brewer
Other
Item name/Description:
*
Supplier/Jeweler:
Material:
*
Quantity:
*
Gauge and style (ring, threadless/threaded, etc):
Gem color, size, and number:
Time Estimate:
If you have any questions, comments, or concerns, please feel free to reach out at any time.
For information about our general studio policies, please see https://monarchpiercing.com/terms
(Should your pronouns not be adequately represented in the drop-down listed, please feel free to write them in the preferred name area, as we sadly do not have control over the options there. Thank you!)
Please read and answer
Y
N
Shipping
*
Do you wish to have your jewelry mailed to you?
By selecting YES, I understand there will be a shipping fee and accept the additional $8 charge.
If selecting YES, please ensure that your ENTIRE mailing address is included in your personal information at the bottom of this document.
Wait Times
*
I understand that jewelry repair times vary widely and take a minimum of two (2) weeks to complete and arrive. I understand that these two weeks are not an estimate of the actual time it may take, and the time estimate added to this document, if available, is the best information the Piercing Studio has at this time.
I understand several factors, such as, but not limited to, closures, manufacturer's delays, mailing, natural disasters, public health crises, and demand can cause my order to take an indeterminate amount of time. Furthermore, I understand that Monarch Fine Jewelry + Professional Piercing is not at fault for these delays or wait times and cannot be held accountable for an inaccurate time estimate.
Contact Consent
*
I give my explicit consent granting Monarch Fine Jewelry + Professional Piercing, the Piercer, the Piercing Studio, and its employees to contact me through email and phone, including text regarding services, appointments, jewelry, and other aspects pertaining to the business. I give my explicit consent granting Monarch Fine Jewelry + Professional Piercing, the Piercer, the Piercing Studio, and its employees to contact me through email and phone, including SMS and MMS messaging, regarding services, appointments, jewelry, and other aspects pertaining to the business. Monarch will never sell your information or use your information to send marketing emails, only those pertaining to your services and jewelry.
I understand the Piercing Studio does not have control over Square, Squarespace, or other companies/tools used by the Piercing Studio and the way in which they use data provided. If I wish to revoke the ability to be contacted, I must let the Piercing Studio know in writing, and this will not inherently remove what contact is done through the services of Square, Squarespace, or other companies/tools the Piercing Studio uses.
60-Day Hold/Contact Changes
*
I understand that I am responsible for informing Monarch Fine Jewelry + Professional Piercing if my contact information changes.
I understand that, should I fail to return contact within sixty (60) days of the Piercing Studio's first attempt to contact me, I shall forfeit my jewelry and the piece will be disposed for health and safety.
Release
*
I, the individual receiving services, and anyone claiming on my and/or the individual receiving the service(s)'s, behalf release, waive, and forever discharge to the fullest extent permitted by law each Piercer, the Piercing Studio, its affiliates, successors and assigns, employees, representatives, partners, and anyone claiming through them from all liability whatsoever in their individual and/or corporate capacities, for any and all claims or causes of action that I, my estate, heirs, executors, or assigns may have, for personal injury, damage, loss, or otherwise, including any direct and/or consequential damages which result, arise, or relate, whether caused by the negligence or fault of the Piercer, the Piercing Studio, its affiliates, successors and assigns, employees, representatives, partners, and anyone claiming through them, or otherwise.
Additionally, I agree to reimburse each of the Piercer(s), the Piercing Studio, and the Studio employees for any attorney's fees and costs incurred in any legal action I and/or the person receiving services bring against the Piercer, the Piercing Studio, its affiliates, successors, employees, representatives, and anyone claiming through them in which the Piercer, the Piercing Studio, its affiliates, successors, employees, representatives, and anyone claiming through them is the prevailing party. I agree that the court(s) shall have personal jurisdiction and venue over me and shall have exclusive jurisdiction for the purpose of litigating any dispute arising out of or related to this agreement.
Payment
*
I agree to pay for any services and jewelry in full via cash, an approved payment card, or other payment method determined by the Piercing Studio. I agree unconditionally that no refunds will be provided. I understand the jewelry is warranted to be free from defects in materials or workmanship for life as determined by the manufacturer.
Legal Document
*
I acknowledge that I have been given adequate opportunity to read and understand this document.
I understand that I am signing a legal contract.
If any provision, section, subsection, clause or phrase of this release is found to be unenforceable or invalid, that portion shall be severed from this contract. The remainder of this contract will then be construed as though the unenforceable portion had never been contained in this document.
Client Information
I hereby declare that I am of legal age (with valid proof of age) and am competent to sign this Agreement.
Legal Name:
*
Pronoun:
-select-
He/Him
She/Her
They/Them
He/Them
She/Them
He/She
He/She/They
Chosen name:
Address:
Postcode:
Date of birth:
*
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You must be 16 or older
Phone #:
*
Email:
*
Social Handle:
If you don't mind us tagging you in photos online
Signature:
*
Sign above or type signature:
Parent/Legal Guardian
I, as custodial parent or legal guardian of the above minor under -16 years of age, hereby consent to the terms and conditions set forth in this release form and I attest that all documentation I have provided is true and accurate.
Guardian's Legal Name:
*
Signature:
*