Minor Piercing

Release Form

PLEASE READ AND CHECK THE BOXES WHEN YOU ARE CERTAIN YOU UNDERSTAND EACH PROVISION AND THE IMPLICATIONS OF SIGNING THIS DOCUMENT. FEEL FREE TO ASK ANY QUESTIONS REGARDING THIS WAIVER.

In consideration of receiving a Piercing from RAD INK including its artists, associates, apprentices, or any employees I agree to the following:

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. I hereby declare that I am of legal age (and have provided valid proof of age and identification) and am competent to sign this Agreement. I HAVE READ THE AGREEMENT, I UNDERSTAND IT, AND I AGREE TO BE BOUND BY IT.

This is required by the health department - We hate that we have to ask this question.
This is required by the health department - We hate that we have to ask this question.

BELOW ITEMS TO BE COMPLETED BY PARENT OR LEGAL GUARDIAN

This is required by the health department - We hate that we have to ask this question.
This is required by the health department - We hate that we have to ask this question.

BELOW TO BE COMPLETED BY PIERCER

Click or drag files to this area to upload. You can upload up to 5 files.
Click or drag files to this area to upload. You can upload up to 5 files.
Click or drag files to this area to upload. You can upload up to 5 files.

CONTACT US

(321) 499-3357

760 W New Haven
Melbourne, Florida 32901