Piercing Consent Form

I voluntarily give my full consent to body piercings carried out by the practitioner. I am informed about possible side effects and complications of body piercing procedures such as infection and swelling. I understand and agree that it is my responsibility to read and follow the instructions about procedures and aftercare.

I confirm that the information that I provide in this consent form is complete and accurate.

Please acknowledge the following items:

Client Name

First NameLast Name

Date of Birth

Date

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Please select the conditions you have:

Appointment

Signature

Signed Date

Date

Piercing Consent Form

Client Information