Piercing Request Form
All piercing inquiries will need to fill out a form. In order to help me streamline the booking process please fill out any relevent information I may need for your appointment. I will contact you through text within 72 hrs. 25% Deposit is due to schedule your appointment.
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Instagram handle
Location of piercing
Additional comments/inquiries
have you been pierced by me before?
yes
no
Other
Submit
Should be Empty: