Piercing Booking Request
Name
*
First Name
Last Name
Pronouns
Email
*
example@example.com
Type of Appointment
*
New Piercing
Jewelry Change
Piercing Consultation
Piercing location and jewelry preferences?
*
Do you have any questions?
Please upload any reference photos you have. If this is for a flash piece, please upload a screenshot of the piece you are interested in.
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Cancel
of
I understand that this booking request form does not guarantee me an appointment. I understand that I will be contacted for follow up soon after submission of request. I acknowledge that until a deposit has been received my appointment has not been confirmed. I understand that this is a non refundable deposit. If I need to cancel or reschedule the appointment I will do this no later than 48 hours before my appointment to avoid losing my deposit. I understand that if I make changes to my piercing plans after submitting this request and booking the appointment the cost may vary from the quote I was given.
*
Submit
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