Body Piercing Consent Form

I confirm that I am not taking any blood thinning medication or suffering from any other illness or condition which may affect my body piercing, or my body piercer needs to be aware of. I confirm I am not pregnant or nursing. I understand that a new piercing is susceptible to infection and that proper aftercare of the piercing is my responsibility. I confirm that I have had the aftercare procedure explained to me and that I understand it. I also confirm that I will follow the aftercare procedure until the healing process is complete. I understand that choosing not to purchase aftercare, whilst not withstanding the hygienic conditions of sterile instruments, jewellery and techniques used by Maneia, there are associated risks with piercings which include scarring, allergic reactions, localised swelling, jewellery embedding and that the piercing may grow out. In giving this consent I release the piercing establishment and its employees from all liabilities, actions and demands which I may have now or in the future for any loss or damage suffered howsoever caused as a result of my piercing (except as a result of fraudulent misstatement) or in respect of personal injury caused by ourselves, negligence and any failure on my part to follow he aftercare procedures. I understand that lying about my age is an offence and my parent/guardian will be held responsible.