Parental Contest Letter

Letter of Consent to Pierce my Minor Child

I, ____________________________ _________________________________________do certify that I am the legal guardian of the minor child

___________________________________________________________________ and hereby give my consent to induce David Kenneth Wilkins/The Axiom and his employees and/or Agent to preform a 

_________________________________________ piercing on ________________________ _______. 201____. 

Minor's Legal Guardian Signature ______________________________________________________________________________________ Date ____________________ _______, 201____

Relationship to the Minnor ______________________________________________________________________________________________

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