Tattoo and Piercing Minor Consent Forms
Atomic Tattoos & Body Piercing
Corporate: 9041 Ulmerton Rd, Largo, FL 33771
Studio # & Location: ____________________
City: _____________ State: ___ Zip: _______
A person may not perform body piercing on a minor without the written notarized consent of the parent or legal guardian, and an establishment may not perform body piercing on a minor under the age of 16 unless a parent or legal guardian accompanies the minor. Atomic Tattoos and/or contractors may refuse service to any minor and therefore this does not constitute a right or contract to receive service.
I,_________________________, give legal permission for my child/ward, ____________________, to have a ____________ (left or right, if applicable) piercing at Atomic Tattoos.
Parent/Legal Guardian signature______________________ Date_______________
Identification type and number____________________________
The foregoing instrument was acknowledged before me this_____
day of_______________, 20____, by______________________, who is( ) personally know to me or ( ) who has produced _______________________ as identification and who did not take an oath.
This section is to be filled out at the time of piercing if the minor is under age 16.
I,_____________________ the parent/legal guardian of________________________ was present at the time of the piercing.
Parent/Legal Guardian signature_____________________________