Sliding Scale Piercing Form
This form is to submit for a sliding scale piercing appointment with Lynn Loheide at Nexus Body Arts. 
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Name *
Date of Birth *
MM
/
DD
/
YYYY
Desired Piercing *
Best Contact for Scheduling (email, instagram, call) *
I understand that piercings are anatomy dependant, and will have a backup piercing in mind in case I am not suited for my original piercing plan.  *
I understand that I will have 1 week to respond for scheduling this appointment, and if I do not respond the slot will be passed on to someone else.  *
Required
Anything else you'd like us to know?
Submit
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