• Fierce Ink and Beauty Piercing Consent Form

    All piercing clients are required to fill out out this booking+ consent form before I can approve your appointment.* Forms must be completed within 24 hours of appointment booking request or your appointment will not be accepted.

  • **** ALL CLIENTS ARE REQUIRED TO ACCEPT THE CANCELLATION POLICY UPON REQUESTING TO BOOK AN APPOINTMENT. IF YOU ARE FILLING OUT THIS FORM, THAT MEANS YOU HAVE ALREADY AGREED AND ACCEPTED OUR CANCELLATION POLICY (see image below). OUR CANCELLATION POLICY IS LISTED IN MULTIPLE LOCATIONS AND AVAILABLE TO CLIENTS (see here: https://fierceinkandbeauty.com/policies). WE HAVE POLICIES IN PLACE FOR A REASON, PLEASE RESPECT THEM.

      

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  • I understand I have already accepted the cancellation policy upon submitting my appointment request:*
  • I agree and understand the cancellation policy states deposits are NON-REFUNDABLE + NON-TRANSFERRABLE:*
  • Format: (000) 000-0000.
  • Date of Birth*
     - -
  • Which piercing/s are you getting ? *up to 4 piercings - PLEASE DO NOT SUBMIT A FORM FOR A DOWNSIZING APPOINTMENT, NO NEED !*
  • I am pregnant or nursing:*
  • I have an active blood disease (HIV, AIDS, etc)*
  • I suffer from keloid scarring:*

  • I acknowledge by signing this Release, I have been given the full opportunity to ask any and all questions which I might have about obtaining a piercing from Fierce Ink and Beauty
    (hereinafter known as the “Piercer”), and all my questions have been answered to my full and total satisfaction. I acknowledge I have been advised of the matters set forth below: 

     

    - I am not pregnant or nursing. If I have any condition that might affect the healing of this piercing, I will inform my Piercer.

    - I do not suffer from medical or skin conditions such as, but not limited to: keloid or hypertrophic scarring, psoriasis at the site of the piercing or any open wounds or lesions at the site of the piercing.

    - I have advised the Piercer of any allergies to metals, latex gloves, soaps and medications. I acknowledge it is not reasonably possible for the Piercer to determine whether I might have an allergic reaction to the piercing or processes involved in the piercing and further acknowledge that such a reaction is possible.

    - I have trustfully represented to the Piercer I am over the age of 18 years.

    - I am not under the influence of drugs or alcohol. To my knowledge, I do not have any physical, mental or medical impairment or disability which might affect my well-being as a direct or indirect result of my decision to have a piercing done at this time.

    - I acknowledge that obtaining this piercing is my choice alone and will result in a permanent change to my appearance, and that no representation has been made to me as to the ability to later restore the skin involved in this piercing to its pre-piercing condition.

    - I acknowledge infection is always possible as a result of obtaining a piercing. I have received aftercare instructions and I agree to follow all of them while my piercing is healing.

    - I understand I will be pierced using appropriate instruments and sterilization

     

  • Therefore, I request the piercer to pierce my . I understand this piercing takes 6-12 months to heal.

  • I agree to release and forever discharge and hold harmless the Piercer and all employees from any and all claims, damages or legal actions arising from or connected in any way with my piercing, or the procedure and conduct used in my piercing.

    - I understand the risks associated with getting this piercing.

    - I understand everyone's ear anatomy is different, and I may not be able to get certain piercings because of this.

    - I understand I am responsible for the piercing, and it requires proper aftercare until fully healed.

    - I understand fierceinkandbeauty.com lists the aftercare instructions.

    - I understand Fierce Ink and Beauty does not offer refunds on piercings.

     

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