Let’s Lock in, together. Name * First Name Last Name Email * Phone * (###) ### #### Because all appointments are held in a home office, I agree to keep the location of "Locked In" private. * Yes 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 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 I am aware that my jewelry is subject to tarnishing if repeatedly exposed to chemicals, lotions, perfumes, or other substances * Yes 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 If for any reason my jewelry comes off or requires a reweld, I understand that I must retain my receipt to receive the free rewelding service. * Yes 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 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 Please sign this document by typing your full name as it appears on your ID. * * Thank you!