Piercing Consent form (Adult)

THE DOLOROSA TATTOO CO.
11930 Ventura Blvd, STUDIO CITY, CA 91604
RELEASE AND CONSENT FOR PIERCING
PLEASE READ AND BE CERTAIN YOU UNDERSTAND THE IMPLICATIONS OF SIGNING.

I acknowledge by signing this Release I have been given the full opportunity to ask any questions which I might have about obtaining a piercing from -

- and all my questions have been answered to my full and total satisfaction.  I acknowledge I have been advised of the matters set forth below and I agree as follows:

or longer to heal.  I agree to release and forever discharge and hold harmless the Piercer and all employees from any and all claims, damages or legal actions arising from or connected in any way with my piercing, or the procedure and conduct used in my piercing.

The information I have provided is complete and true to the best of my knowledge.
I HAVE READ THIS AGREEMENT, I UNDERSTAND IT, AND BY SUBMITTING I AGREE TO BE BOUND BY IT.
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