Piercing Consent Form

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Personal

Personal Information

First Name *

Last Name *

Date of Birth *

Age

Phone Number *

By providing your phone number you agree to receive appointment-related texts from Foenix Ink (confirmations, reminders, aftercare). Msg frequency varies. Msg & data rates may apply. Reply STOP to opt out, HELP for help. Your contact info may be used to show you our ads (never your health information). SMS Terms · Privacy Policy

Address *

Driver License / ID Number

Photo ID *

Take a photo or upload an image of your ID