Piercing Request Form

Piercing Request Form
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
TextEmail
YesNo
YesNo
If yes, please explain
My Products*
prevnext( X )
Anti - Tragus
Minimum Age Requirement 15 +

$60.00 How Many



Basic Tongue ONLY
Minimum Age Requirement 18 +

$60.00



Belly
Minimum Age Requirement 13 +

$60.00 How Many



Conch
Minimum Age Requirement 13 +

$60.00 How Many



Daith
Minimum Age Requirement 13 +

$60.00 How Many



Dermal Anchors
Minimum Age Requirement 18 +

$75.00 How Many



Dimples
Minimum Age Requirement 18 +

$115.00



Earlobe
Minimum Age Requirement 3 months +

$60.00 How Many



Eyebrow
Minimum Age Requirement 15 +

$60.00 How Many



Forward Helix
Minimum Age Requirement 13 +

$60.00 How Many



Helix
Minimum Age Requirement 13 +

$60.00 How Many



Industrial
Minimum Age Requirement 13 +

$70.00 How Many



Labret
Minimum Age Requirement 15 +

$60.00 How Many



Lip
Minimum Age Requirement 15 +

$60.00 Which Piercing



Nipple
Minimum Age Requirement 18 +

$60.00 How Many



Nose
Minimum Age Requirement 13 +

$50.00



Rook
Minimum Age Requirement 13 +

$60.00 How Many



Septum
Minimum Age Requirement 13 +

$60.00



Smiley
Minimum Age Requirement 16 +

$65.00



Snug
Minimum Age Requirement 13 +

$60.00 How Many



Tragus
Minimum Age Requirement 13 +

$60.00 How Many



Triple Forward Helix
Minimum Age Requirement 13 +

$135.00 How Many



Total

$0.00
If you didn't find the piercing you're looking for on the list above PLEASE contact us for further information.

(210) 375 -4685
Notes & questions you want to add
Appointment*
You must call to cancel your appointment (210) 375-4685.Prices above include the piercing and standard piercing jewelry. It does NOT cover any aftercare. Aftercare is $10 - $16 (plus tax) and purchased seperatly at the time of service.Appointments for piercings are required.I will provide a valid government issued photo ID. (ALL minors will need additional documents please call for more information)I understand failure to arrive on time or failure to bring a valid ID will result in forfeiture of deposit.No call No Show appointments will automatically forfeit deposit.I understand that this booking request form does not guarantee me an appointment.I understand that I will be contacted for follow up and will be required to send a deposit via etransfer.I acknowledge that until the deposit has been received my appointment has not been confirmed.I understand that this is a non refundable deposit.I understand that if I make changes to my piercing after submitting this request and booking the appointment the cost may vary from the quote I was given.I have read and agree to the above statements.
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Piercing Request Form

If you didn't find the piercing you're looking for on the list above PLEASE contact us for further information.