👶 Infant & Child Ear Piercing Consent Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Parent/Legal Guardian Full Name *Relationship To ChildMotherFatherLegal GuardianAddress *Phone Number *Email Address *Child's Full NameChild's DOB *Placement Area *Tattoo Artist / Piercer Performing Service *ChrisI confirm that: I am the parent or legal guardian of the child named above I have full authority to give consent All information provided is true and accurate I give permission for ear piercing to be carried out at The Viper Pit Tattoo Studio. Click Here to ConfirmYes I Confirm to Confirmation Child Child Medical Infomation DiabetesEpilepsy, fainting, seizuresHeart conditionsSkin conditionsBlood-borne virusesBlood-thinning meds, antibioticsAllergies: ink, metals, latex, plasters, lidocaineAnything else we should knowWas the Child Born PrematureYesNoProcedure Understanding I understand that: The procedure involves piercing the ear using sterile, single-use equipment The child may experience brief pain, redness, or swelling There is a small risk of infection, irritation, or allergic reaction Jewellery used is suitable for initial piercing Placement Acknowledgement (IMPORTANT) I understand that: Piercing placement is agreed before the procedure While every effort is made to ensure symmetry, perfect symmetry cannot be guaranteed As the child grows, ear shape and position may change, which may affect the long-term appearance of the piercing Aftercare Agreement I confirm that: I have received and understand aftercare instructions I will follow all aftercare advice provided I understand improper aftercare can lead to complications Liability & Responsibility I acknowledge that: All reasonable care and hygiene standards have been followed The studio and practitioner cannot be held responsible for: Infection due to improper aftercare Undisclosed medical conditions Normal healing complications Behaviour & Safety I understand that: The procedure will only go ahead if it is safe to do so If the child is excessively distressed or uncooperative, the procedure may be stopped Confirmation *I agree to the sections aboveThe procedure has been fully explained to meI have had the opportunity to ask questionsDate Signede.g 03-01-2025Submit Consent Form