Minor Piercing Consent Form - NC Clients

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 my child that is a minor and that I am their parent or legal guardian. 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 my child 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 child's piercing, I agree they will follow written and/or verbal aftercare instructions that will be provided until healing is complete. I understand that the piercing may take several months to heal properly.

Location *
Do you have hepatitis? *
Are you HIV positive? *
Are you diabetic? *
Have you had jaundice in the past 10 days? *
Do you have high blood pressure? *
Are you on blood thinner? *
Do you bleed excessively? *
Are you under the influence of drugs or alcohol? *
Are you prone to fainting? *
Do you have any conditions that may effect the healing of this piercing? *
I understand I am making a permanent change to my body. *
I agree to check the location of the piercing and approve it's location. *
Parent/Legal Guardian and Minor's ID (Select Camera and photograph your I.D.s together) *