PIERCING CONSENT FORM

New Piercing Release Form for Adults 18+

I acknowledge by submitting this Release that I have been given the full opportunity to ask any and all questions which I might have about obtaining a piercing or jewelry change from the Piercer present at Ghost Tattoo Studios and all my questions have been answered by the staff/associates of this establishment.

In consideration of receiving a piercing from Ghost Studios including its artists, associates, apprentices, agents, or any employees (hereinafter referred to as the “Tattoo Studio”)

I agree to the following:

I am at least 18 years of age.I attest that I am not using a false identification to receive services or representing myself as someone else.

I understand I am making a permanent change to my body. I acknowledge a piercing is a perforation and will result in a permanent change in appearance, and that no representation has been made to me as to the ability to restore the skin involved in this piercing to its pre-piercing condition.

I am not currently under the influence of drugs or alcohol; I am of sound body and mind; and I agree to receive this piercing/modification of my own free will, under no duress.

I am not currently pregnant or nursing a child under the age of 6 months; I have not been pregnant in the past 3 months.

I am not currently experiencing any symptoms of acute illness and to the best of my knowledge have not recently been exposed to anyone with any contagious illness.

I accept that after my piercer has opened single-use instruments and supplies for my procedure,

if I choose to stop, postpone, or interfere with my piercing procedure, or if my piercer deems it unsafe or unprofessional to continue the service due to my health or behavior, I will be refunded ONLY for unused/uncontaminated jewelry/aftercare purchased during this visit, and Ghost Tattoo Studios will retain the service fee as payment for supplies and time.

I agree to follow the written aftercare instructions provided by Ghost Tattoo Studios until healing is complete. I understand that listed healing times are estimates and may vary. I acknowledge that aftercare guidance is based on industry standards and professional experience and is not medical advice. If a serious medical concern arises or my piercer recommends it, I will seek care from a licensed physician.

I release Ghost Tattoo Studios and its employees, contractors, and agents from all liability related to my body modification. I understand they are not legally or financially responsible for any issues or injuries that may occur, including but not limited to placement, jewelry, pain, aftercare, healing complications, infection, rejection, or scarring.

I have read and understand this release form. I hereby swear under penalty of perjury by my signature below that all information provided by me here is true and correct to the best of my knowledge.

FULL LEGAL NAME

Email

Phone

Address

TODAY'S DATE

Month

Day

Year

PROOF OF ID

By signing below, I attest the the following statements are true:

I have provided accurate information on any medical conditions I may have or medications I may take that could adversely affect the outcome of this procedure, including but not limited to ALLERGIES (iodine, nickel, latex, others), diabetes, anemia, hemophilia, high/low blood pressure, epilepsy, heart disease, immunosuppressive disorders, history of excessive swelling, medically diagnosed keloiding, or any condition requiring antibiotics prior to a medical procedure (including dental).

List relevant allergies, medical conditions, recent illnesses/surgeries in the past 90 days, and medications if applicable:

Signature

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