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Free piercing consent form template

A printable body piercing consent and release form for studios. It records who the client is, what's being pierced, their health answers, the statements they agree to, and a parent or guardian signature for minors.

or use it as a signable online form
piercing consent & release formStudio: ____________
Full legal name
Date of birth
Phone
Email
ID type checked
Location and jewelry
Piercer

Health

Allergies (latex, metals, inks, ointments)
Medications, including blood thinners
Conditions (diabetes, heart, bleeding, skin, epilepsy, other)
Pregnant or nursing?

Initial each statement

I am not under the influence of alcohol or drugs.
I have told the studio about any medical conditions, allergies or medications that could affect the work or healing.
I understand the work may cause pain, swelling, bleeding or infection, and that results vary.
I have received aftercare instructions and understand that following them is my responsibility.
I understand the work is permanent or may leave a mark, and removal is not guaranteed.
I have approved the placement and jewelry before the work begins.
I understand healing times vary and jewelry may need to be changed by the studio.
Client signature
Date

Parent or guardian (client under 18)

Guardian name
Relationship
ID type checked
Guardian signature
Date

Template from studiosigned. Not legal advice; check your local rules.

What's on this form

  • Client details and the ID you checked.
  • Piercing location, jewelry and the piercer doing it.
  • Health questions: metal and other allergies, medications, conditions such as diabetes or bleeding disorders, and pregnancy or nursing.
  • Agreement statements: sober, health disclosed, risks and healing times understood, aftercare received, placement and jewelry approved.
  • Client signature, and a parent or guardian section for clients under 18.

Minors and piercing

Many places allow some piercings for minors with a parent or guardian present, and limit others. Requirements can include the guardian's ID, proof of relationship, or both being present for the whole procedure. Check your local rules and add any lines you need.

Keeping the form

Keep the signed form with the date and the jewelry used. If a client comes back with a question about healing or a reaction, you'll want to know exactly what went in.

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