Clone of Piercing Request Form

Thank you so much for your interest in booking a piercing appointment with me. I am so excited to take care of you and look forward to our time together. Please read below and fill out all sections so I can best serve you.

Name

First NameLast Name

E-mail

example@example.com

Phone Number

Area CodePhone Number

PLEASE READ:

At Diamond Reigns we only pierce ears and nostrils at this time. We do not offer any other body piercings.

We pierce the ages of 7 years old and up.

Anyone between 7-17 will need a legal guardian to accompany them to their appointment. We have a notary on site for the state forms for minors in the state of Florida.

Piercings can take a while to heal, especially the cartlidge. Please keep this in mind when booking your appointment.

Once I receive your request form, you will receive a text message with a link to book your appointment. A non-refundable deposit of $20 is required to hold your spot . Once the appointment is made, your card on file will be charged the $20 deposit and the appointment will be accepted. Receipt of transaction will be sent. Deposit does get deducted from final cost.

As with all my services, complimentary aftercare is provided.

Are you under 18 years of age?

How did you hear about us?

What are you looking to get pierced?

Have you visited Diamond Reigns before?

Thank you so much!

You should receive a response via text shortly after your submission of your request; please check regularly as appointments tend to fill up fast. Thank you!

I look forward to taking care of you 🤍

- xo, Ashley

Ashley's Piercing Request Form