Earlobe Piercing Inquiry
Happy you're here :)
Piercing Packages
Name
*
First Name
Last Name
Date of Birth
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Email
*
Phone Number
*
Format: (000) 000-0000.
Instagram handle
Preferred method of contact?
*
Text
Email
Instagram
This appointment is for
*
Myself
My Child
Both/Group
If booking for you child
Child's Full Name
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Child's Date of Birth
Has your child had their ears pierced before
Yes
No
Which piercing service are you interested in?
Needle Piercing
Children’s Package
Jewelry Change
Request Date/s?
*
Please list the dates you preferred or lmk days/time that works the best for you!
Questions? or Anything I should know? :)
I’d love to make your appointment as special and comfortable as possible. Whether you’re celebrating a birthday, a milestone, a first piercing, or there’s something special you’d like me to be aware of. Feel free to share any requests or details here!
If you have been referred by someone please leave their full name below ♡
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