Appointment Request Groups of 3 or larger please call to schedule Have you ever had this piercing before? Nope! 1st time Yes, but it was removed, I'd like it in the same spot Yes, but it was removed, I'd like it in a new spot/side. Yes, I want to pair the new one on my other ear Name * First Name Last Name Pronouns Phone * (###) ### #### Preferred Contact Method * Call Text Scheduling request is for: * select all that apply Myself (age 18+) Minor child (age 16-17) Minor Child (age 12-16) Minor Child (age 8-11) Party of 2 Existing Client? Yup! Nope! Desired Service (select all that apply) x1 Fresh Piercing x2 Fresh Piercing x3 Fresh Piercing x4 Fresh Piercing x5 Fresh Piercing x6 Fresh Piercing x1 Jewerly Change x2 Jewerly Change x3 Jewerly Change x4 Jewerly Change x5 Jewerly Change x1 Downsize Existing Piercing x2 Downsize Existing Piercing x3 Downsize Existing Piercing x4 Downsize Existing Piercing Complimentary Consultation Detailed 30min Curation Full Curation with additional services Troubleshoot a piercing done with us Troubleshoot a piercing done elsewhere x1 Jewelry removal x2 Jewelry removal x3 Jewelry removal x4 Jewelry removal Describe desired Piercing location(s) and age of piercings for changes/downsizes ex: Nostril Piercing left side, helix piercing right side, downsize 2 mo old earlobe piercings What days/times work for you? Preferred provider? * Ex: T, Th before 4pm, Sa after 12pm with Zoe Do you use breathing or hearing devices, headset/headphones, stethescope or other item that makes contact with the area to be pierced? * Yup Nope Do you have plans to swim/submerge the area to be pierced in pool/lake/river/ocean etc in the next 8-12+ weeks? Yup Nope Thanks for your request! We will get back to you within 24 hours (during business hours)
