Piercing Appointment Request Form

We are thrilled to work with you and give you the piercings of your dreams! It is good to note however that not all anatomy types are suited to every piercing. For this reason, we do not take deposits for piercing appointments, because there is a chance we may inform you that we are uncomfortable performing your selected procedure. In this instance, we will typically recommend potential alternatives and leave the choice with you. You're welcome to come by in person to check before booking as well!

Full Name

First NameLast Name

Contact Number

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

Email Address

example@example.com

Preferred Method of Communication: By selecting one of the following options, I am consenting to receive correspondence from Tabitha Mathis.

In order to receive a piercing, you must either be 18 years or older. If the individual receiving the piercing is 14-17 years of age, proper documentation is required. Please review site FAQs for more info.

Will you be 18 years or older at the time of scheduled appointment?

Piercing Choice

Note* I do not recommend receiving more than 3 piercings in one appointment, and will not exceed this limit. If you are interested in stacked piercings, I also recommend separate appointments, but will do them*

If you’d like multiple, you may list them below:

Our starter jewelry is all implant-grade titanium. If you have any metal allergies or preferences for special order jewelry, please indicate so here:

All messages & appointment request forms are viewed and responded to on the following Monday. If you have any questions, or need more immediate assistance, please reach out directly.