top of page
Birthday
Day
Month
Year
Date and Time of Procedure
Day
Month
Year
Time
HoursMinutes

I acknowledge by signing this release form that I hereby release Eternal Gold Ltd and its employees and agents from all manner of liabilities, claims, actions, and demands, in law or in equity, which I or my heirs have or might have now or hereafter by reason of complying with my request to pierce by child. I certify that I am the parent or legal guardian of the minor receiving the piercing and/or tattoo. I agree that I will assume all responsibility for any medical, legal, or other situation resulting from my request to pierce/tattoo my child. I understand that I must remain in the presence of this minor during piercing/tattooing procedures. I understand that my child will be pierced/tattooed using appropriate instruments and techniques. I understand that this type of piercing usually takes a minimum of the estimated period of time or longer to heal.

bottom of page