Waiver and Release Form

For my permanent jewelry installation as performed by Cember, I understand:

• The procedure of installing permanent jewelry includes welding, a spark, and a flash of bright light.

• An arc welder system with Argon gas is used near my skin.

• A protective barrier will be placed on my skin to protect the area from sparks, but sparks may land outside of the barrier.

• I will wear the provided protective eyewear while my jewelry is being welded.

• All Cember permanent jewelry is final sale.

• This jewelry can and is meant to break and/or stretch if pulled or caught.

• Permanent jewelry can be removed, if necessary, with sharp scissors.

I acknowledge:

• I am not allergic to any metals.

• I do not have a pacemaker, an implanted medical device, or any medical conditions / issues / reactions to magnets or magnetic fields that would make this permanent jewelry installation unsafe.

• All questions regarding permanent jewelry have been answered by Cember to my satisfaction.

• Photos from my experience may be taken and used by Cember to market or promote Cember in marketing materials and / or on social media.

• I am using an approved form of payment and authorize Cember to charge the card I provide.

• If for installation on a minor, I am the parent or legal guardian of the minor named below. I have the legal right to consent to and, by signing below, I hereby do consent to the terms and conditions of this Waiver and Release Form for the named minor.

By signing this waiver and release form, I accept that Cember is not liable for any medical condition, injury, or loss that may occur in the process of installing or as a result of wearing a permanent jewelry piece. I understand Cember is taking precautions for my safety. I have read and agree to the terms of this waiver and release form and sign it voluntarily.