Florida Minor Piercing Consent Form

Florida Minor Piercing Consent Form - BODY PIERCING CONSENT FORM In accordance with Florida state law any individual receive a body piercing MUST present valid government issued ID For minors receiveing a piercing A person may not perform body piercing on a minor without the writtennotarized consent of the minor s parent or legal guardian and an establishment

Following facts as stated in this document are true I am the natural parent or legal guardian of The Minor Child s date of birth is The child s age is I have the legal authority to give consent for this child s Tattoo I consent to the tattooing of my child as follows description location of Tattoo

Florida Minor Piercing Consent Form

Florida Minor Piercing Consent Form

The establishment must obtain a written notarized consent statement before piercing a minor. If the minor is under the age of 16, the minor also must be accompanied by a parent or legal guardian. All customer records must be kept for at least two (2) years. Initial Visit: Name: ________________________________________

Written Notarized Consent for Body Piercing of a Minor Use of this form is voluntary and not required by the Department of Health The form is provided as a service to assist salons in complying with the record keeping requirements of Chapter 64E 19 Florida Administrative Code State of Florida County of

STATE OF FLORIDA DEPARTMENT OF HEALTH

A person may not perform body piercing on a minor without the written notarized consent of the minor s parent or legal guardian and an establishment may not perform body piercing on a minor under the age of 16 unless the minor is accompanied by a parent or legal guardian as specified in section 381 0075 Florida Statutes

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The consent form must have a description of the type of piercing to be performed on the minor Minors under 16 years of age must be accompanied by the parent or legal guardian The piercing facility must display a notice of where and how to file a report of any injury resulting from the piercing

Body Piercing Consent Form

Title Tattoo and Body Piercing Consent Form Packet Author eForms Created Date 20220211180050Z

Piercing Notary Form Florida Aulaiestpdm Blog

For Office Use Only Printed Name of Licensed Salon Signature of Tattoo Artist Printed Name of Tattoo Artist Name of Notary typed stamped or printed Notary Seal 5744 000 4146 1 DH 4146 03 12

If you are 16 or 17 years old and wish to get a tattoo, this is what you will need: Download, print and fill out the Florida Department of Health Written Notarized Consent for Tattooing a Minor. If you are under 18, your parent or legal guardian must accompany you for the entirety of the procedure. Call ahead if you are planning a walk-in visit.

BODY PIERCING CUSTOMER RECORD Florida Department Of Health

I release the right to any photographs taken of me and the piercing and give consent in advance to their reproduction in print or electronic form For assurance if you do not check this provision please inform RAD INK NOT to take any pictures of you and your completed piercing I understand

Florida Minor Piercing Consent Form

For Office Use Only Printed Name of Licensed Salon Signature of Tattoo Artist Printed Name of Tattoo Artist Name of Notary typed stamped or printed Notary Seal 5744 000 4146 1 DH 4146 03 12

Following facts as stated in this document are true I am the natural parent or legal guardian of The Minor Child s date of birth is The child s age is I have the legal authority to give consent for this child s Tattoo I consent to the tattooing of my child as follows description location of Tattoo

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