Posh Pierce Consent
  • Format: (000) 000-0000.
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  • In signing this Release and Authorization, I acknowledge and represent that:

    (A) I have fully read this Release Form, understand it and signing voluntarily

    (B) I acknowledge receipt of, and understand the Aftercare Instructions as well as risk of infection. I understand that I must carefully follow all Aftercare Instructions.

    (C) If having my cartilage pierced, I acknowledge that I am fully aware that cartilage piercing may carry a greater risk of infection/complication due to improper care of my pierced ears. Should a problem occur, I should seek medical attention immediately.

    (D) I understand that if I am taking blood thinning medications, have diabetes, may be pregnant, or have a medical problem or history, I should obtain a doctor's approval before being pierced.

    (E) All sales are final and no refunds are given after the service is provided. 

    I certify that I consent to have my ears pierced by Posh Pierce. I assume all responsibility for injury or loss, of any kind, that may be associated with this ear piercing procedure.

    If under 18 years of age, Parent or Legal Guardian signature is required. Otherwise,I represent that I am over 18 years of age or, if given on behalf of a minor, that I am the parent or legal guardian of said minor and I will hold only myself liabile.I understand a minor signing as an adult falsifying information constitutes a legally

    By signing below I acknowledge I have been informed of the ear piercing procedure, aftercare instructions and complications that I could experience. I will consult a healthcare provider if any complications or infection may arise.

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