Piercing Consent Form - Web ear piercing consent form. _____ age:_____ form completed by: I have received aftercare instructions and i agree to follow all of them while my piercing is healing. _____ i understand that fees for ear piercing will not be filed with insurance. Therefore, i request the piercer to pierce my. _____ initial below to indicate consent: Use of this form is voluntary and not required by the department of health. In consideration of doing so, i fully I acknowledge by signing this release i have been given the full opportunity to ask any and all questions which i might have about obtaining a piercing from ________________ (hereinafter known as the “piercer”) and all my questions have been answered to my full and total satisfaction. Web written notarized consent for body piercing of a minor.
I acknowledge infection is always possible as a result of obtaining a piercing. Web ear piercing consent form. I understand i will be pierced using appropriate instruments and sterilization. Web written notarized consent for body piercing of a minor. _____ i understand that fees for ear piercing will not be filed with insurance. I acknowledge i have been. In consideration of doing so, i fully I have received aftercare instructions and i agree to follow all of them while my piercing is healing. I acknowledge by signing this release i have been given the full opportunity to ask any and all questions which i might have about obtaining a piercing from ________________ (hereinafter known as the “piercer”) and all my questions have been answered to my full and total satisfaction. Use of this form is voluntary and not required by the department of health. Therefore, i request the piercer to pierce my. _____ age:_____ form completed by: I _____, the parent/legal guardian of _____ induce _____ to pierce my son and/or daughter. _____ initial below to indicate consent: