Name *

First Name

Last Name

Phone *

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1. I acknowledge that “Locked In” is not responsible for any adverse reactions related to allergies (including metals or pets), skin conditions, or existing skin issues. *

Yes

2. I understand that the jewelry I am receiving is permanently welded. This means that removal requires special tools and may not be easily removed without professional assistance. *

Yes

3. I am aware that my jewelry may change color if repeatedly exposed to chemicals, lotions, perfumes, or other substances. *

Yes

4. I understand that the jewelry may come off if it becomes snagged or pulled. I will exercise caution to avoid situations where my jewelry could be caught. *

Yes

5. If for any reason my jewelry comes off or requires a reweld, I understand that I must submit accurate contact information to receive the free rewelding service. *

Yes

6. I understand that my permanent jewelry may retain heat in saunas, hot tubs, and other heated environments. I agree to take precautions and release Locked In from any liability for burns or discomfort. *

Yes

7. I acknowledge that I am fully committed to the purchase and service, and no refunds will be issued for any reason after the jewelry has been welded. *

Yes

8. By signing this form, I give my informed consent to participate in the Locked In permanent jewelry experience, acknowledging that I have read and understood the details provided above. *

Yes

SIGNATURE (Print name) *

First Name

Last Name