By submitting this form I agree to all all terms and hereby give consent for the piercing artist named below to perform a piercing on me. I release the tattoo and piercing establishment named below and the piercing artist from any and all manner of liabilities, claims, actions and demands in law, or in equity, which I or my heirs might now or hereafter by reason of complying with my request of a piercing. I understand that any employee or independent contractor of the named establishment, when performing a piercing does not act in the capacity as a medical professional. The suggestions made by any employee or independent contractor of the named establishment are just suggestions. They are not to be construed as, or substituted for advice from a medical professional. I understand that the piercing will be performed using appropriate techniques and instruments. I also understand that infections can occur due to lack of proper aftercare hygiene and/or jewelry sensitivities. To ensure proper healing of my piercing, I agree to follow written and/or verbal aftercare instructions that will be provided until healing is complete. I understand that a piercing may take several months to heal properly. If you are asked for a payment by any method other than being rang up at the front desk at the cash register, please call 704-670-6946.