PDF- Minor Release Form

All minors (ages 16 & 17 only) are required to provide us with a completed, notarized and signed “Minor Medical Disclosure & Release Form”.
Instructions: click on button to the right to access .pdf form, you can type your information in the shaded fields if you wish to do so. Then print out at home and make a copy of both parent AND minor’s state or federal issued IDs on back of release form. Take the form to a notary and have the back, under the photocopied IDs notarized. Both minor & parent MUST be together for the piercing or tattoo. We will again check IDs to make sure they match form before piercing or tattooing the minor.