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.
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 presterilized
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 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.