Request Appointment | Jess Appointment Form (Jess Piercing) First Name * Last Name Phone * Email * Piercing Description * Desired Placement * What Days are you available to be pierced * Monday Tuesday Wednesday Thursday Friday Saturday Sunday Are you under the age of 18? * Yes No Are you using a gift certificate? * Yes No How much is your gift card for? I acknowledge that a deposit is required before an appointment can be booked reCAPTCHA If you are human, leave this field blank. Request Appointment
