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SERVICES
Spray Tanning
Teeth Whitening
Piercings
FAQ
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Book A Visit
Piercing Waiver
Please fill out the following form with the information of the person receiving the piercing(s)
Legal Name
*
Date of Birth (mm/dd/yy)
*
Phone Number
*
Email
*
Is the person receiving the piercing a minor?
*
Parent / Guardian Legal Name
Emergency Contact Name & Contact Information
Parent/ Guardian Front of ID
Font of ID
Parent/ Guardian Back of ID
Back of ID
Front of ID
Front of ID
Back of ID
Back of ID
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