Ear piercing ( if under 18's you need to fill the Parent/Guardian permission form instead)

Multi-line address

Country/Region

Address

City

Zip / Postal code

Please leave instructions for FREE immediate parking. I am carrying heavy equipment.

Scar tissue or Keloids (Dr. written permission required)

Yes

Epilepsy (Doctors notes need it + need to be accompanied by someone

Yes

Recent scars or surgeries (under 6 months)

Yes

Cysts or under diagnosed Lumps or Bumps

Yes

I agree to inform immediately, if my body temperature is getting higher than 37 °C, develop a cough or lose my sense of taste and smell in the last 2 hrs prior the treatment

Doctors notes or proof of parking

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