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�� `� 0 | release all rights toany taken ofmeand the piercing and give consent in advance to their reproduction in print or electronic form. (If you do not initial this pnn/ision, please advise and remind your Artist andtho Piercing Studio NOT hotake any pictures ofyou and your completed piencing|). |acknowledge that| have been given adequate opportunity bo read and understand this document, that it was not presented to me at the last minuie, and I understand that I am signing a legal contract waiving certain rights to recover against Piercing Studio. | agree toreimburse each ofthe Artist and the Piercing Studio foranyotbznnayo' fees and costs incurred in any legal action I bring against either the Artist or the Piercing Studio and in which either the Artist orthe Piercing Studio is the prevailing party. | agree that the that the courts nf[CALAFC)FNIA]in[SAN JCAC)U8V ODUV7y7shall have personal jurisdiction and venue over maand shall have exclusive jurisdiction for the purpose of litigating any dispute arising out of or related tuthis agreement. I acknowledge that I have been given adequate opportunity to read and understand this document,that it was not presented to me at the last minute, and I understand that I am signing a legal contract waiving certain rights to recover against the Artist and the Piercing Studio. If any provision, section, subsection, clause or phrase of this release is found to be unenforceable prinvalid, that portion shall besevered from this contract.The remainder ofthis contract will then be construed as though the unenforceable portion had never been contained in this document. I hereby declare that I am of legal age(and have provided valid proof of age)and am competent tosign this Agreement or, ifnot, that myparent mrlegal guardian shall sign onrnybehalf, and that my parent or legal guardian is in complete understanding and concurrence with this agreement. ]�cooriptiamof procedure IHAVE READ THIS AGREEMENT,XUNDERSTAND I7F,I AGREE TO BE BOUND BY IT. Print Full Name: Date of Birth: Address: Signature of Date: Participant Signature of Parent or Guardian if Participant Is a Minor and bytheir signature they,onmybehalf, neleaoeall claims that both they and | have. Signature: Date: