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Permanent Jewellery Consent

We are thrilled you have chosen us for your permanent jewellery experience.
Our commitment is to provide you with a safe, clean, and comfortable setting for your new jewellery. Before we proceed, we kindly ask you to complete the form below with your personal details. This is a crucial step in ensuring your safety and comfort throughout the entire process.

Your name

Date of birth

You must be 14+ or have parental consent.

Phone number

Email address

Your address


Emergency Contact Information

For your safety, we require an emergency contact. This precaution ensures that we can act swiftly and effectively in any urgent situation, keeping your well-being as our top priority.
This information will be kept confidential and used only when necessary.

Contact details