I acknowledge by signing this agreement that I have been given the full opportunity to ask any questions which I might have about obtaining a body piercing and that my questions have been answered to my satisfaction.

I acknowledge that it is not reasonably possible for my practitioner to determine whether I might have an allergic reaction to the jewellery or the processes used during my piercing and I agree to accept the risk that such is possible. I have notified my piercer of any known allergies I have such as, an allergy to LATEX or METALS.

I acknowledge that infection is always possible as a result of obtaining a body piercing, particularly in the event that I do not take proper care of my piercing. I agree to follow all instructions given by MY practitioner concerning the proper care of my piercing while it is healing.

I confirm I do not feel unwell or show any known COVID-19 symptoms and I have not been exposed to anyone who has contracted COVID-19.

I acknowledge that obtaining a piercing whilst my immune system is low may have an adverse effect on it's healing and I will reschedule my appointment should I feel unwell.

I acknowledge that a piercing can make a permanent change to my appearance by way of scarring. To my knowledge, I do not have a physical, mental or medical impairment or disability which might affect my wellbeing as a direct or indirect result of my decision to have a piercing.

I acknowledge I am over the age of sixteen or I have a parent/legal guardian present if under the age of sixteen and that I have truthfully represented to my piercer that the obtaining of a piercing is my decision

I understand that I will be pierced using the appropriate instruments and sterilisation processes. 

This is to certify that I, the below named and undersigned, do give my permission to be pierced and I am fully aware of the process involved and understand the importance of the daily aftercare procedure.