Minor Child Piercing Appointment... | MAGIC MOON TATTOO

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MINOR CHILD PIERCING

APPOINTMENT REQUEST

Under Age 18

TO REQUEST A PIERCING APPOINTMENT FOR A MINOR CHILD

PLEASE FILL OUT THE REQUEST FORM BELOW.

ONCE YOUR APPOINTMENT REQUEST FROM IS SUBMITED A STAFF MEMBER WILL

CONTACT YOU TO SCHEDULE YOUR TATTOO APPOINTMENT!

*PLEASE NOTE OUR ARTISTS ARE IN VERY HIGH DEMAND AND IT MAY TAKE TIME TO RESPOND,

HOWEVER WE WILL GET BACK TO YOU WITHIN 24 TO 48 HOURS.

WE THANK YOU FOR CHOOSING US FOR YOUR PIERCING NEEDS

AND WE APPRECIATE YOUR PATIENCE!

MINOR CHILD Piercing

Appointment Request

Parent or Guardians First & Last Name

Parent or Legal Guardians Phone Number

Do you accept text messages at this number

Email

Childs Legal First Name *As it appears on Birth Certificate

Childs Legal Last Name *As it appears on Birth Certificate

(Optional) Childs Preferred Name and/or Pronouns

Childs Date of Birth *MUST BE UNDER 18

Piercing Desired

What Days & Times Are You Available? Please choose all that apply.

MONDAY AFTERNOONS 12pm - 4pm

MONDAY EVENINGS 4pm - 8pm

THURSDAY AFTERNOONS 12pm - 4pm

THURSDAY EVENINGS 4pm - 8pm

FRIDAY AFTERNOONS 12pm - 4pm

FRIDAY EVENINGS 4pm - 9pm

SATURDAY AFTERNOONS 12pm - 4pm

SATURDAY EVENINGS 4pm - 9pm

SUNDAYS 12pm - 5pm

Do you have any MEDICAL CONDITIONS, CHRONIC ILLNESS, or DISEASES?

Is the skin in the area you are requesting service compromised with any skin condition like Acne, Burns or Scars etc.?

Do you take any MEDICATIONS or SUPPLEMENTS? *Prescribed or Over the Counter

Do you have any allergies? *Oral or Topical

I attest that my child is not currently PREGNANT or NURSING? *Due to the risk of infection to both mother and child, tattoos can NOT be performed on Pregnant or Nursing women.

Parent or Legal Guardian must accompany Minor Child to their appontment. *Legal Guardians must present court ordered proof of guardianship.

Parent or Legal Guardian must present a Valid Government Issues ID or Passport.

Child Must Present a Valid Birth Certificate

I agree to reschedule my appointment if I or any other member of my household end up having an elevated temperature or any cold, flu or allergy symptoms before my scheduled appointment?

THANK YOU YOUR REQUEST WAS RECEIVED. YOU WILL RECEIVE A TEXT MESSAGE FROM 603-320-9616 (within 48 hours) TO BOOK YOUR APPOINTMENT.

Forms received after 7pm or on Holidays May Not Be Processed Until The Following Day.

MAGIC MOON TATTOO &
THE PIERCING SMITHS

MAGIC MOON TATTOO SERVICES:

Body, Ear Piercing & Jewelry Services by The Piercing Smiths
Tattooing
Scalp Micropigmentation
Cosmetic / Paramedical Tattooing
Non-Laser Cosmetic Tattoo Lightening
Micro-Needling: Skin Rejuvenation & Scar Treatment

THE PIERCING SMITHS SERVICES:

Body Piercing
Ear Piercing
Dermal Anchoring
Corset / Play Piercing
Exotic / Adult Piercings
Ear Stretching
Jewelry Sales, Changes & Removal

Contact Us

Tel: 603-320-9616

Email: magicmoontattoonh@gmail.com

© 2021 by Laura Smith

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