Please enter the information for the person
receiving permanent jewelry.
Please read the following terms carefully
before agreeing and signing.
1. Understanding the Service
I understand that permanent jewelry is
custom-sized jewelry joined using a
specialized welding process. The jewelry
does not have a traditional clasp and is
intended for continuous wear.
I understand that welding equipment is
used during the application process and
that Synergy Jewelry LLC will take
reasonable precautions to protect my skin.
2. Risks & Sensitivities
I understand that potential risks may
include temporary discomfort, skin
irritation, allergic reactions, minor
burns, or injury if the jewelry becomes
caught, pulled, or tangled.
Synergy Jewelry LLC uses gold-filled
and sterling silver jewelry. I understand
that individual sensitivities or allergic
reactions may still occur.
I agree to disclose relevant safety
concerns before receiving my jewelry.
Synergy Jewelry LLC may decline or
postpone a service if it cannot be
performed safely.
3. Jewelry Care & Removal
I understand that permanent jewelry is
not indestructible. Chains may stretch,
break, or become damaged through normal
wear, accidental pulling, snagging, or
other circumstances.
I acknowledge that I have been given an
opportunity to ask questions about proper
jewelry care.
I understand that permanent jewelry can
be removed by carefully cutting the chain
with an appropriate tool.
If jewelry removal is necessary for medical
care, imaging, an emergency, or another
safety reason, I agree to follow the
instructions of the relevant healthcare
professional and not delay necessary care.
4. Sales, Repairs & Weld Guarantee
I understand that permanent jewelry
purchases are final sale, subject to
applicable law.
Synergy Jewelry LLC guarantees its weld
workmanship but does not guarantee that
chains or other jewelry components will
never stretch, break, or become damaged.
If an issue occurs within the first
14 days after application, Synergy Jewelry
LLC offers a complimentary repair or
replacement at an upcoming Synergy pop-up,
subject to evaluation of the jewelry
and its condition.
Damage unrelated to weld workmanship is
not covered by the weld guarantee.
Services outside complimentary coverage
may be subject to additional charges.
5. Voluntary Participation & Assumption of Risk
I voluntarily consent to receive permanent
jewelry from Synergy Jewelry LLC.
I acknowledge that I understand the nature
of the service and its reasonably
foreseeable risks.
I have had an opportunity to ask questions,
and I voluntarily assume the ordinary risks
associated with the service and wearing
the jewelry.
To the extent permitted by applicable law,
I release Synergy Jewelry LLC and its
owners, employees, and representatives
from claims arising from the ordinary
risks of the service, including claims
based on ordinary negligence.
This release does not apply to gross
negligence, reckless conduct, intentional
misconduct, or claims that cannot
legally be waived.
6. Consent & Acknowledgment
I confirm that the information provided
is accurate to the best of my knowledge.
I have read and understand this document,
have had an opportunity to ask questions,
and voluntarily agree to its terms.
We'd love to share photos and videos of
our jewelry experiences! Your permission
is completely optional.
By entering your full legal name below,
you intend to sign this waiver electronically.