ear-piercing-form | Claire's US

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Claire's Pre-Registration Form

Your new piercing is just a few clicks away

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Enter Age

Ear Piercing

Cartilage Piercing

First Name *

Last Name *

Date of Birth *

Gender (select all that apply) *

Woman
Man
Non-binary
Prefer not to say
Prefer to self-describe

Address *

City *

State/Province *

Country *

Zip / Postal Code *

Phone *

Email *

If applicable, I confirm that I am the minor’s Parent or Legal Guardian and I consent to the collection and use of the minor’s personal information by CLAIRE’S for the ear-piercing purposes

I agree (If applicable, parent or legal guardian agrees on behalf of the minor) to receive email messaging

Once you submit your form it will be placed on file. When you’re ready to visit us in-store for your piercing, we’ll be able to locate your pre-filled form. Can’t wait to see you!

You're SO CLOSE to having a brand new piercing from Claire's!

Your new piercing is just a few clicks away

Tell us about the Customer Being Pierced

Choose the piercing you would like today:

Let's get ready to pierce!

Finally! Please enter information for the Person Being Pierced

Thank You!

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