Piercing Appointment Name * First Name Last Name Preferred Name/Pronouns If this doesn't apply, leave blank. If it does apply let us know! Email * *It's not uncommon to wait a few weeks for a reply email. For a faster response time feel free to call or come into the shop, Please make sure to check your spam folder as sometimes replies can get lost Phone * (###) ### #### Is this piercing for an adult or a minor? * *Minors 13+ can get pierced with parental or legal guardian's consent and attendance, ID for both Required *Must be 18+ for Nipple Piercing *For Child Lobes - Please Call (856)769-0955 Adult Minor Preferred days * Tuesday Wednesday Thursday Friday Saturday Preferred Piercing * Check All That Apply. Oral Piercings and Septum NOT Currently Available. Belly Button Cartilage/Helix Conch Daith Earlobes Eyebrow Forward Helix Industrial Nostril w/Stud Nipples Rook Tragus Jewelry Insert/Removal Thank you! We’ll get back to you as soon as possible!