Royal Ink Piercing Consent Form
  • Royal Ink Piercing Consent Form

    This Consent Form is required to proceed to a consultation with one of our piercers. If you have any questions, please text/call (845) 705-5686
  • Format: (000) 000-0000.
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  • Medical & Health Information

    Please answer honestly - this ensures your safety!
  • Customer Acknowledgements

  • I* Do hereby acknowledge my voluntary decision to receive a piercing from the aforementioned piercer at Royal Ink Tattoo Shop.

  • By signing this agreement, I acknowledge and agree to the following terms and conditions:

    Non-Refundable Deposit: I understand that the deposit I am paying is non-refundable under any circumstances except where the piercer or studio is unable to fulfill the appointment due to unforeseen events. If I cancel or fail to show up for my appointment, the deposit will be forfeited.

    Rescheduling Policy: I understand that if I need to reschedule my piercing appointment, I must provide a minimum of 48 hours’ notice. If I fail to reschedule within this time frame, the deposit will be forfeited. In the case of a reschedule, the deposit will be applied to the new appointment date, subject to availability.

    Health and Safety: I confirm that I am in good health, free from any conditions that could affect the piercing process or healing (such as allergies, skin infections, or blood disorders). I have provided accurate information regarding any medical conditions or medications that may affect my piercing. I agree to notify the tattoo artist immediately if any changes to my health arise before or during the appointment.

    Age Requirement: I certify that I am at least 18 years of age and legally capable of receiving a piercing. If I am under the legal age in my jurisdiction, I will provide written consent from a legal guardian in accordance with state laws.

    Tattoo Studio's Right to Refuse Service: I acknowledge that the piercer and/or studio reserves the right to refuse service at any time for reasons including but not limited to inappropriate behavior, intoxication, or failure to comply with studio policies.

    Video Surveillance Notice: Our premises are monitored by continuous video recording systems operating 24 hours a day, 7 days a week, for security, safety, loss prevention, and operational purposes. By entering our property or using our facilities, you acknowledge that you have been notified of and consent to video recording in accordance with applicable law.

    Healing and Aftercare: I understand that aftercare is critical to the proper healing of my piercing. I agree to follow the piercer’s instructions carefully. I acknowledge that the studio is not responsible for any complications arising from improper aftercare or failure to follow the piercer's instructions.

    Privacy and Media Rights: I give the piercer and the studio the right to photograph and/or record the tattoo process for promotional and marketing purposes. I understand that my likeness, piercing, and video/photos may be used on the studio’s website, social media, or other platforms unless otherwise stated.

    Liability Waiver: I, the client, understand that receiving a piercing involves potential risks, including infection, allergic reaction, or scarring. I accept full responsibility for these risks and release the tattoo artist and studio from any claims, damages, or liabilities arising from the piercing process, healing, or any complications related to the piercing.

    Agreement Binding: I acknowledge that this agreement constitutes the full and complete understanding between the parties. Any modifications to this agreement must be made in writing and signed by both the client and the studio.

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                        Cartilage - $50 Each


                        $15.00

                        Item subtotal:$0.00
                          
                        Earlobe - $40 Each
                        $15.00

                        Item subtotal:$0.00
                          
                        Industrial - $80


                        $20.00

                        Item subtotal:$0.00
                          
                        Tragus - $60
                        $15.00

                        Item subtotal:$0.00
                          
                        Nose - $60
                        $15.00

                        Item subtotal:$0.00
                          
                        Lip - $70
                        $15.00

                        Item subtotal:$0.00
                          
                        Nipple - $70 Each
                        $15.00

                        Item subtotal:$0.00
                          
                        Belly Button - $80
                        $20.00

                        Item subtotal:$0.00
                          
                        Tongue - $100
                        $20.00

                        Item subtotal:$0.00
                          
                        Eyebrow - $60
                        $15.00

                        Item subtotal:$0.00
                          
                        Total
                        $0.00
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