Piercing Client Form

Please complete all required fields

Personal Information

Health & Safety Information

Critical Health Disclosure: It is vital that you inform the artist of any health conditions. If you proceed with any health risks, the artist, piercer, and studio cannot be held responsible for complications.

Legal Agreements & Consent

Session Information

Select the artist who will be working with you today.
Enter the agreed price for your session.
Select at least one piercing type. You can select multiple options.

Signature & Date