About this template
A Permanent Jewelry Consent Form is an essential document for studios, pop-ups, and retailers offering welded bracelets, anklets, and necklaces. This form ensures that clients understand the nature of permanent jewelry, including the welding process, care requirements, and potential risks, while acknowledging that they are undergoing the procedure voluntarily.
Using Doc2Form, you can instantly turn this template into a fully functional Google Form and share it via a QR code at your pop-up booth or email it to clients ahead of their appointment. It collects vital contact information, emergency details, and required liability acknowledgments in one streamlined step, helping you protect your business and provide a professional client experience.
Streamline your check-in process and eliminate paper clutter by letting clients fill out their waivers digitally on any device before getting their jewelry welded.
Key features
- Collect digital consent and liability waivers seamlessly before the procedure.
- Gather client contact info and date of birth for your records.
- Include mandatory checkboxes for risk acknowledgment and aftercare agreement.
- Mobile-friendly layout for quick client sign-offs at events or in-studio.
Use cases
- In-studio permanent jewelry welding appointments
- Pop-up shops and craft fairs offering welded bracelets
- Private party events and permanent jewelry bachelorette parties
- Retail boutique special events and trunk shows
What this form collects
- Full Name (Short answer)Enter your first and last name as it appears on your ID.
- Date of Birth (Date)Please provide your birth date. Minors may require parental consent.
- Email Address (Short answer)Where should we send your receipt and aftercare instructions?
- Phone Number (Short answer)We will only use this to contact you regarding your appointment if necessary.
- Home Address (Paragraph)Enter your current residential address.
- Medical & Metal Sensitivities (Multiple choice)Do you have any known allergies to metals (e.g., gold, silver, stainless steel) or medical implant sensitivities?
- Medical Device Notice (Multiple choice)Do you wear a pacemaker or any other medical device that could be affected by micro-welding?
- Liability & Procedure Acknowledgment (Checkboxes)Please read and confirm the following statement regarding permanent jewelry.
- Client Signature (Short answer)Please type your full legal name to serve as your digital signature.
- Signing Date (Date)Today's date.
FAQ
Why do I need a permanent jewelry consent form?
It ensures your clients are fully aware of the welding process, aftercare needs, and potential risks, while providing liability protection for your business.
Can clients fill this out on their phones?
Yes! Google Forms are fully responsive, allowing clients to complete the waiver on their smartphone while sitting in your chair or waiting for their turn.
How do I share this form with my clients at pop-up events?
You can generate a QR code linking directly to your Google Form and display it at your station for instant scanning and sign-off.
Can I customize the questions to add my own studio policies?
Absolutely. Once the template is in your Google Drive, you can fully edit, add, or remove any questions to fit your specific studio guidelines.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.