Body Piercing School Registration Form

Please Download the Registration Form (click here) & mail to Primal Instinct Body Piercing School or submit via email by filling in the the following HTML form & pressing the "Submit" button at the bottom.

To Register By Credit Card - Submit form & call: (781) 324-6565 or (888) 813-OUCH
To Register By Cashier's Check - Submit form or Print & Mail to:

Primal Instinct Body Piercing School
P.O. Box 298
Wakefield, MA 01880

For Questions Call : 781-324-6565 or 888-813-OUCH

Personal Information:

Last Name:
First Name:
Date of Birth:
Identification:
Address:
City:
State:
Zip:
EMail:
Phone:

Payment Information:

A non-refundable deposit of $250.00 is due w/registration.
The balance is due on, or before the 1st day of class.

Cash. Call for more info.

Cashier's Check Payable to Primal Instinct Body Piercing School. Form & check must be mailed.

MasterCard\Discover\Visa. Submit Form, then call with payment info.

Personal Checks Not Accepted

Bio:

Why do you want to become a Body Piercer?

What do you expect to get out of this course?

Terms and Conditions:

The fee for the piercing course is $ 1000.00. Classes fill up fast so please register early.

A non-refundable deposit of $ 250.00 is required to secure your spot. The balance must be paid upon entering your first day of class. Cash, credit card, or bank checks are acceptable. Personal checks are not accepted.

If you are paid in full in advance and have to cancel, you will be refunded $ 750.00, however we do require one week notice of cancellation before your scheduled course, or you will not be entitled to a refund.

Any student that fails the exam at the end of the course will be allowed to take the next available class, at no charge to you. Upon completion of the course there will be a complementary dinner provided by Primal Instinct, at which point you will receive your certificate of course completion.

I have read the above Terms and Conditions, and I agree to and except the above Terms and Conditions. I understand that this contract is not binding until accepted by Primal Instinct Body Piercing School. You must be at least 18 years of age to attend.

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