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PARENTAL PIERCING CONSENT RELEASE FORML <br /> I acknowledge by signing this release form that I hereby release <br /> and its employees and agents from all manner of liabilities, claims, actions, and <br /> demands, in law or in equity, which I or my heirs have or might have now or hereafter by <br /> reason of complying with,my request to pierce by child. <br /> I certify that I am the parent or legal guardian of the minor being pierced. I agree that <br /> I will assume all responsibility for any medical, legal, or other situation resulting from my <br /> request to pierce my child. I understand that I remain in the presence of this minor <br /> during piercing procedures, <br /> I understand that my child will be pierced using appropriate instruments and techniques. <br /> I understand that this type of piercing usually takes or longer <br /> to heal. I have signed this release on 120 <br /> -Adult's relation.to Minor.. <br /> Parental/Legal Guardian: <br /> IDT ID number: <br /> Date of Birth: <br /> Minor: <br /> -ID Type: ID number: <br /> Date of Birth: <br /> I certify under penalty of perjury that the information herein is true and correct. <br /> Adult's Signature: <br /> Minor's Signature: <br /> If single-use, pre-sterilized equipment is used please, provide Lot/ID number. <br /> Artist: Lot/ID #: <br />