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READY FOR THE REAL DEAL?

 

Fill out the form below to have your piercing done safely, professionally and stylishly at Bonnie & Clyde.

 

We take your safety and comfort seriously. That is why we ask you to fill out this form accurately. Together we will ensure a smooth, well-informed and fully legal treatment.

⚠️ Are you under 18? Then we need permission from your parents.

⚠️ Do you have a medical condition? Check extra carefully whether piercing is suitable for you.

 

Do you have questions or doubts about something? Our crew is ready for you — no judgement, just facts.

 

Let's get this done right.

Date of Birth
Month
Day
Year
Are you over 18?
Yes
No
How did you find your way to Bonnie & Clyde?
At which location will the piercing be done?
When is the piercing scheduled? (leave blank if not yet confirmed)
Month
Day
Year
Time
HoursMinutes

CLIENT DECLARATION

High-risk conditions/circumstances


Please tick the conditions/circumstances that apply to you.

Vinkt u alstublieft de voor u van toepassing zijnde aandoeningen/omstandigheden aan.

General medical conditions

I, the client named above, declare the following: (tick where applicable)

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