Piercing Booking 16yrs +

Piercing Booking 16yrs +

Miss Eliesha at "In Katharsis"
Welcome, and thank you for choosing me for your piercing experience.
After I review your submission, I’ll be in touch via email with available appointment times and deposit details. Please check your junk folder and allow up to 7 days for my response. Please email misselieshatattoo@gmail.com directly if you have not received a response within this time.

Once we confirm a time, a deposit is due within 24 hours to secure your spot, or the appointment will be released. You’ll receive a confirmation email with all the details once your deposit is paid.

Thank you for your cooperation, and I'm thrilled about the opportunity to work with you in creating a beautiful piercing.

IMPORTANT:
Before submitting this form, please carefully read the Booking Information to support a smooth, respectful, and safe experience for all.

All information and images you provide is kept strictly confidential.

Click ‘Next’ to confirm you’ve read and agree to these terms.

Piercing Booking Form

To be filled out by the person receiving the piercing. Please do not fill this out for someone else.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Age?*
Bookings for individuals under 16 years, please complete the PIERCING BOOKING FORM for MINOR.
Is this your first time being pierced?*
Have you been pierced by me previously?*
Please upload a photo of where you would like the piercing on yourself, so I can check if your anatomy is suitable or if we need to discuss other options.

If you're not comfortable uploading a photo, an in person consultation is recommended before booking. Everyone's anatomy is unique, the piercing you want may not always be possible. All images you provide are kept confidential.
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For this booking, which piercings are you interested in getting? Price includes piercing service & jewellery. Maximum of 3 piercings per booking.*

CONSULTATION ONLYLOBE - $80BOTH LOBES - $140HELIX - $100FWD HELIX - $100CONCH - $100TRAGUS - $110DAITH - $120 (for potential migraine relief)ROOK - $110FLAT - $100NOSTRIL - $90SEPTUM - $130BROW - $110LIP/LABRET - $120PHILTRIM - $110NIPPLE - $110BOTH NIPPLES - $200NAVEL - $120DERMAL - $150JEWELLERY CHANGE - $30 FEE
Are you happy to have plain titanium jewellery for the initial piercing, or would you prefer a gem piece?*
A gem piece will incur an additional $10ea and may require downsizing once healed, but is yours to keep.
Do you have a preference between Internally Threaded or Threadless jewellery?*
If in stock at the time of booking.
Please provide the days and times you're available, and I'll do my best to schedule accordingly.*
Are you taking any medication that may affect the procedure or healing process?*
Please list medications.*
Do you have any skin disorders, scaring or any other medical conditions that may affect the procedure or healing process?*
Please describe in detail.*
By submitting this form, I acknowledge that I have read and understood the nature of the session and agree to the Terms & Conditions.
Signature*

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Piercing Booking 16yrs +

Piercing Booking Form