Please fill out
- ON DAY OF -
**scheduled appointment**

Please fill out
-ONLY ONCE CONFIRMED-
**Appointment Recommended**

MINORS Restrictions:
*Ages 6-14 Ear Lobes Only*
*Ages 15-17 most piercings offered*
We do not pierce Tongues, Dermals, or Privates on minors
‍
GUARDIAN CONSENT
 AND PRESENCE 
REQUIRED 
FOR FULL PROCEDURE

Please fill out
‍ONLY ONCE CONFIRMED 
for Walk-in session