Body Piercing Consent Form – Be Kind Tattooing

Piercing details

Today’s date

Piercer

Piercing type

Placement

Quoted amount

Deposit paid

Checklist

Please read and tick each item below.

Influence I am not under the influence of alcohol or drugs.

Risks I have been fully informed of the inherent risks associated with getting a piercing. I fully understand that these risks, known and unknown, can lead to injury, including but not limited to infection, scarring, allergic reactions to jewellery materials, latex gloves, and/or cleaning solutions. Having been informed of the potential risks, I still wish to proceed with the piercing and freely accept and expressly assume any risks.

Health I do not have diabetes, epilepsy, hemophilia, or a heart condition nor take blood thinning medication. I do not have any other condition that may interfere with the piercing or its healing. I am not the recipient of an organ or bone marrow transplant; if I am, I have taken the preventive antibiotics. I am not pregnant or nursing.

Waive TO WAIVE AND RELEASE to the fullest extent permitted by law each of the Piercer and the Studio from all liability whatsoever, for any and all claims or causes of action that I may have for personal injury or otherwise, including any direct and/or consequential damages, which result or arise from my piercing, whether caused by the negligence or fault of either the Piercer or the Studio, or otherwise.

Healing & aftercare The Piercer and the Studio have given me aftercare instructions for my piercing, and I understand them and will follow them. I acknowledge that it is possible for the piercing to become infected, particularly if I do not follow the instructions given to me.

Photography I release all rights to any photographs taken of me and the piercing and give consent in advance to their reproduction in print or electronic form. (If you do not tick this provision, please advise your Piercer.)

Questions I acknowledge that I have been given adequate opportunity to read and understand this document, that any and all of my questions have been answered, that it was not presented to me at the last minute, and I understand that I am signing a legal contract waiving certain rights to recover against the Piercer and the Studio.

If any provision, section, subsection, clause or phrase of this release is found to be unenforceable or invalid, that portion shall be severed from this contract. The remainder of this contract will then be construed as though the unenforceable portion had never been contained in this document.