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Piercing Consent Form

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I acknowledge by signing this agreement that I have been given the full opportunity to ask any and all questions I might have about obtaining a piercing and that all of my questions have been answered to my full satisfaction. I specifically acknowledge that I have been advised of the facts and matters set forth below and I agree as follows:


• If I have any condition that might affect the healing of this piercing, I will advise my piercer. I am not pregnant or nursing. I am not under the influence of alcohol or drugs.

• I do not have medical or skin conditions such as but not limited to: acne, scarring (keloid), eczema, psoriasis, freckles, moles, or sunburn in the area to be pierced that may interfere with the piercing process. If I have any type of infection or rash anywhere on my body, I will advise my piercer.

• I acknowledge that it is not reasonably possible for the representatives and employees of this shop to determine whether I might have an allergic reaction to the materials or processes used in my piercing, and I agree to accept the risk that such a reaction is possible.

• I acknowledge that infection is always possible as a result of obtaining a piercing, particularly if I do not take proper care of it. I have received aftercare instructions and agree to follow them while my piercing is healing.

• I understand that if I remove my piercing in less than a month, the piercing may close, and if I want it re-pierced, I will have to do so at the studio's standard rates.

• To my knowledge, I do not have any physical, mental, or medical impairment or disability that might affect my well-being as a direct or indirect result of my decision to get a piercing.

• I acknowledge that I am over the age of eighteen and that I have truthfully represented to my piercer that obtaining a piercing is my choice alone. I consent to the application of the piercing and to any actions or conduct of the representatives and employees of the shop reasonably necessary to perform the procedure.

• I give consent for pictures/videos taken of my piercing to be used for promotional and portfolio purposes to showcase the artist’s work.

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