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Children's Lobe Piercings
Let us do this part
Today's Date:
Sun Mar 15 2026 06:29
Child's Name:*
I acknowledge by signing this agreement that I have been given the full opportunity to ask any and all questions which I might have about the obtaining of a body piercing and that all of my questions have been answered to my full satisfaction. I specifically acknowledge I have been advised of the facts and matters set forth below and I agree as follows:
Please read and answer
Y
N
Has your child eaten in the past 4hrs? It's a good idea to before hand to increase their blood sugar levels.
Y
N
Does your child have epilepsy or hemophilia? Do they suffer from any heart
conditions or take medication which thins the blood? Do they have any conditions
such as diabetes that might affect the healing of the piercing.
Y
N
Does your child suffer from any other communicable or bloodborne diseases that may affect the healing of their piercing?
Y
N
Does your child suffer from medical or skin conditions such as, but not limited to: keloid or hypertrophic
scarring, psoriasis at the site of the piercing or any open wounds, infections, rashes, or lesions at
the site of the piercing?
Y
N
Does your child have any allergies to metals, latex, soaps, iodine or medications?
Details: 
Y
N
Do you and your child acknowledge that the piercing will result in a permanent change to your child's appearance and that their skin may not be restored to its pre-piercing condition even after its removal?
Y
N
Do you and your child affirm that they are getting this piercing of their own free will and are not being forced to do so?
Y
N
Do you and your child understand they cannot go swimming (i.e. pools, lakes, oceans, etc) for the duration of time the piercer tells them, and doing so before that time period can be detrimental to their healing process?
Y
N
Do you and your child acknowledge infection is always possible as a result of obtaining a piercing?
Y
N
Do you and your child acknowledge that you have been given adequate opportunity to read and understand this document, that it was not presented to you at the last minute, and you understand that you are signing a legal contract?
Y
N
Do you and your child release all rights to any photographs/videos taken of the piercing and give consent in advance to their reproduction in print or electronic form?
Y
N
Do you and your child acknowledge contracting COVID-19 is always possible as a result of being in close contact with other people who are, in turn, in contact with more people? You have received information on how Big Guns Tattoo is responding to recommended protocols in addition to their normal precautionary measures and agree that they are not liable if you or your child were to fall ill with COVID-19.
Y
N
Have you or your child experienced any of the following symptoms in the last 14 days:
Fever, Difficulty breathing, Diarrhea, Dry or wet cough, Runny nose, Sore throat, Fatigue, Aches or pains?
I hereby release and forever discharge and hold harmless Paige Amber Holloway the piercer and all affiliates, Owners, Managers, and Employees from any and all claims, damages or legal actions arising from or connected in any way with my piercing, or the procedure and conduct used in my piercing, to the fullest extent allowed by the law. I have been given the full opportunity to ask any and all questions which I might have about how the studio is handling post COVID-19 protocols. I specifically acknowledge I have been advised of the facts and matters set forth above and I agree. Therefore I hereby release and forever discharge and hold harmless Big Guns Tattoo and all affiliates, owners, managers, and employees from any and all claims, damages or legal actions arising from or connected in any way with COVID-19 to the fullest extent allowed by the law. I certify under Penalty of Perjury that the above information is true and correct.
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.
Client Information
I hereby declare that I am of legal age (with valid proof of age) and am competent to sign this Agreement or, if not, that my parent or legal guardian shall sign on my behalf, and that my parent or legal guardian is in complete understanding and concurrence with this agreement.
Legal Name:*
Pronouns:
Chosen name:
Address:*
Postcode:*
Date of birth:*
 
If you are under 18 your parent/guardian will be required
Age: 
Phone #:*
Email:*
Signature:*

Photo Identification *
Please take photo(s) of your government issued photo IDs and related paperwork