Tapering Consent Form

Let us do this part

Today's Date:

Tue Apr 29 2025 03:35

Please fill in the Tapering Release Form to the best of your ability. If you have any questions please ask a member of staff.

Please read and answer

MEDICAL*

Do you suffer from or are you receiving medical guidance for any of the following:
- heart disease
-blood disorders (high/low blood pressure)
- hemophilia
-impetigo
-seizures: I.e: epilepsy
-diabetes
-hepatitis (A,B,C)
- HIV/AIDS
-acne
-psoriasis
-keloid scarring

Details:

Are you on any regular drug treatments?
Please let us know if so

Details:

Are you Pregnant/Breastfeeding?

Details:

Have you consumed alcohol or drugs in the last 24 hours?

EATEN*

Have you eaten a substantial meal or snack in the last 2 hours?

NUMBING AGENTS*

Have you applied any topical numbing creams/lotions?

AFTERCARE/DOWNSIZE*

I agree to follow the aftercare routine given to me during my appointment.
I have answered the above information truthfully and to the best of my ability

I confirm that I am aware of the importance of downsizing my jewellery once the initial swelling has subsided, and that there is an additional cost for this. If longer jewellery is not downsized, it can result in the piercing migrating, rejecting or change the angle.

Please be aware that 14ct/18ct gold attachments are still on a titanium labret. If you are wanting a solid 14ct gold labret, there is an additional cost. You may still require a downsize for an additional cost.

LIABILITY RELEASE*

I acknowledge that I have been given adequate opportunity to read and understand this document, that it was not presented to me at the last minute

I understand it is my right to withdraw from the Tapering procedure at any time, however I will not be entitled to a refund once the Piercer has set up, as there are set up costs and piercers time incurred.

I can confirm that I have not applied any topical numbing agents to the Tapering site prior to my appointment. Any such numbing agents used in the Tapering area will result in the piercers refusal to perform the Taper. I will not be eligible for a refund due to set up costs and piercers time.

I can confirm that I am not under the influence of drugs or alcohol and I give my full consent for the tapering procedure. If we have reason to believe that you are under the influence of drugs or alcohol then we will refuse service, your deposit forfeited and you will be charged the remainder of the service cost.

GDPR*

I understand that my information (data) given on this form will be stored as an electronic copy and will not be stored physically. The information is stored by The Owl and the Pussycat Piercing LTD only and will not be used for marketing purposes or passed on to third parties. By signing our consent form, our clients ackowledge that we are compliant with GDPR regulation and that their information is stored correctly and not passed on

16+*

I confirm that I am over the age of 16 and will provide my government issued photo identification to a member of staff when asked to prove my age & date of birth.

ALLERGIES*

Do you have any allergies or are sensitive to the following:
Adhesive plasters
Alcohol Swabs
Disinfectants and Antiseptics such as:
Chloroxylenol
Jewellery
Metal

Details:

If any provision, section, subsection, clause or phrase of this release is found to be unenforceable or invalid, that portion shall be severed from this contract. The remainder of this contract will then be construed as though the unenforceable portion had never been contained in this document.

Client Information

I hereby declare that I am of legal age (with valid proof of age) and am competent to sign this Agreement.

Legal Name:*

Pronoun:

Chosen name:

Address:

Postcode:

Date of birth:*

You must be 16 or older

Phone #:*

Email:*

Signature:*

Sign above or type signature: