Minor Child Piercing Consent Form

Information you will need

• What’s the state?
• What’s the county?
• What’s the name of the parent/guardian?
• What’s the address?
• What’s the name of the minor child?
• How old is the minor child?
• What's the parent/guardian's printed name?
• What’s the description and location of the piercing?
• What’s the minor child's date of birth?

The form includes 1 signature line.