Parental Consent Form (Piercing)

Parental Consent for Body Piercing of a Minor

This form must be completed in the presence of a notary public and notarized. Below are details of the consent form but you will need to download the pdf below and print it to take to the notary.

Fill Out this Online Form

Download a printable pdf version

I understand that the PIERCEE will be pierced under proper and sterile conditions with instruments, jewelry, tools, and techniques designed for body piercing. I understand that the PIERCEE will be pierced with a pre-sterilized needle, used only on the PIERCEE, and then immediately disposed of. Most materials used for the procedure are single-use and are thrown away after each piercing. Those tools that are re-used are subject to ultrasonic cleaning and autoclave and Statim sterilizing before re-use.

I acknowledge that infection is always possible as a result of a new piercing, and understand that PROPERLY following the written and verbal aftercare instructions the PIERCEE will be provided with at the time of piercing will increase the chances of successful healing. I acknowledge that it is not reasonably possible for the piercer to determine whether or not the PIERCEE will experience an allergic reaction to the piercing jewelry or the materials used in the piercing procedure. I will advise the piercer of any known allergies or physical conditions such as immunosuppressive illnesses, epilepsy, diabetes, or tendency keloid, that the PIERCEE suffers from and have been advised of any special precautions to take during the healing time.

I understand that True Blue Tattoo & Body Piercing reserves the right to refuse service to anyone for any reason. Additionally True Blue Tattoo & Body Piercing reserves the right to decline to perform certain piercings on any individual at the discretion of the piercer on duty.