Body Piercing Consent Form

Please fill out the following health declaration form in order to participate in our activity. Submissions are valid up to 24 hours prior to the activity.

Important information for piercing clients
Known (potential) risks associated with body piercing.
 

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- Scarring
- Bleeding / Bruising
- Blood Poisoning
-Jewellery Embedding/Migration
- Localised Infection
- Particularly Nose, Navel and Genital
- Allergic Reactions to Jewellery Metals
- Tongue piercings may lead to swelling, choking and restrictions of the airways.

Individual Client Consent 
I declare that I give my full consent to my body piercing being carried out by the operator, as mentioned earlier. I confirm that potential complications and aftercare instructions have been explained to me. A written aftercare advice sheet containing more detailed information has been given to me and I agree that it is my responsibility to read this and follow the instructions until the site has healed. I confirm that the above information provided by me for this consent form is correct to the best of my knowledge. I am over the age of Consent for this procedure (16 years old) and that I am not currently under the influence of drugs or alcohol.

Please select yes in the drop down menus if you have experienced any of the following:

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Data Protection

All data given is safeguarded and protected under GDPR guidelines. Your data is stored securely on our computer system and is not shared with any third-party companies. The purpose of this information is to prove client identity; however, we may use it to contact you as part of our aftercare process. We may also contact you regarding promotional offers, discounts and giveaways.

Thanks for submitting!