FOR CLIENT’S INFORMATION

Known (potential) risks associated with body piercing

:Scarring
: Blood Poisoning (Septicaemia)
: Jewellery Embedding/Migration
: Localised Infection- Particularly Nose, Navel, Genitals
: Allergic Reactions To Jewellery Metals
: Localised Swelling & Trauma Around The Site
: Tongue Piercing May Lead To Swelling, Choking & Restriction Of The Airway

INDIVIDUAL CONSENT

Known (potential) risks associated with body piercing

I declare that I give my full consent to body piercing being carried out by the aforementioned Operator. I confirm that potential complications, e.g. infection and swelling, gum/tooth damage, jewelry migration/embedding) for the procedure undertaken, and aftercare instructions have been explained to me. A written aftercare advice sheet containing more detailed information has been given to me and I agree that it is my responsibility to read this and follow the instructions on it until the site has healed. I confirm that the above information provided by me for this consent form is correct to the best of my knowledge, that I am over the age of consent for this procedure (i.e. 18 years old), and that I am not currently under the influence of alcohol or drugs

PARENTAL CONSENT

Known (potential) risks associated with body piercing

I consent that all of the intended procedure has been explained to me and that the information provided by me is correct to the best of my knowledge. I hereby consent to my child, named above, having the body piercing and I understand the risks.

Photo Consent:

I also grant permission to Tattoos1960 ( and their collaborators) to take and use: photographs/digital images of me for use in news releases, Social Media Platforms, Promotional Activities, Business Portfolios on the worldwide internet, and educational materials. These materials might include printed or electronic publications, Web sites or other electronic communications. I further agree that my name and identity may be revealed in descriptive text or commentary in connection with the image(s). I authorize the use of these images without compensation to me. All negatives, prints, digital reproductions shall be the property of Tattoos1960.

I have understood all the information given by the operator and agree to get my piercing done.

Please sign inside the box.