appointment request form
preferred name
*
first name
last name
pronouns
(she/her, he/his, they/them, etc.)
age
*
phone number
*
please enter a valid phone number and include area code
Format: (000) 000-0000.
instagram @
*
N/A if none
e-mail
*
example@example.com (NA@NA.com if none)
birth date
*
-
Month
-
Day
Year
Date
Appointment
*
are you getting a new piercing, or are we downsizing an existing piercing?
Piercing
Downsize
Checkup
Other
what piercing(s) are you interested in?
*
if unknown, please type "unknown" and upload inspo photo. if it's a downsize, please type downsize. if we are doing a checkup, please type checkup.
do you want custom jewelry or basic jewelry?
*
custom jewelry is jewelry chosen by you that is available in our jewelry case. basic jewelry is included in the price of the piercing you choose. custom jewelry prices vary.
please upload photo if you dont know piercing name
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have you been pierced by me before?
*
yes
no
how did you hear about me?
please answer, it helps me know how my advertising is doing :)
I understand that:
*
I MUST be 18 years or older
I MUST bring a government issued ID to my appointment
I will eat a meal before my appointment
My appointment may be canceled or rescheduled by Pouty if needed.
Pouty must confirm my appointment. Without her confirmation, my appointment is not guaranteed.
A deposit MUST be left to secure my appointment.
If I no-call/no-show my appointment, my deposit will be kept by Pouty.
My deposit must be submitted within 12 hours of receiving the confirmation text, or my appointment may be forfeited.
I have double-checked my phone number and all my booking information, and everything is correct.
Piercings are anatomy-dependent, and there is a possibility that I may not have the anatomy for the piercing I want. I understand that Pouty may recommend a different piercing that is better suited for my anatomy.
anything else you want to tell me?
can be anything! :)
do you have a discount code?
join "the pouty club" for updates + discounts!
all piercings include ASTM F136 implant grade titanium jewelry
Piercing Appointment Deposit. A non-refundable $10 deposit is required to secure your piercing appointment. This deposit will be applied toward the total cost of your service on the day of your appointment. If you need to reschedule, please provide at least 48 hours notice to have your deposit transferred to a new appointment time. No-shows or cancellations made with less than 48 hours notice will forfeit the deposit. A payment link will be sent to you after booking. If the deposit is not received within 12 hours, your appointment will be automatically canceled. By entering your name below, you confirm that you have read, understand, and agree to the Piercing Appointment Deposit Policy.
*
insert name above
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