CLIENT CONSENT FORM
Consent and Health information.
Name
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First Name
Last Name
Address
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D.O.B - DD.MM.YYYY
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Contact Number
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Date of Booking
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-
Month
-
Day
Year
Date Picker Icon
Name of Artist for upcoming visit
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Please Select
Kelly
Chunky
Max
Max: DISCLAIMER. Please tick to confirm you understand: You are having work carried out by our junior artist and thus are paying a discounted rate to acknowledge your support of his development as a tattoo artist.
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Yes
Savannah Studios Hygiene Policy
Savannah Studios operates a strict hygiene policy to keep our customers and staff safe at all times. Please answer all questions truthfully. Due to close proximity in some working situations a mask may be required. We ask that no one enters Savannah Studios with a Cold or Covid like symptoms. Savannah Studios reserves the right to postpone appointments up to and including the day of booking.
Any medical conditions or medication we should be aware of, for example, heart, blood, skin conditions, diabetes, seizures, pregnancy/nursing, COVID/cold symptoms in the last 7 days, allergies, etc
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No
Yes
If yes please state the conditions. If No please state N/A;
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Additional notes for your appointment; e.g., confirmation of spelling/dates, the use of ashes within the ink, etc.
DISCLAIMER: I have asked any and all questions needed. I have provided any and all information about any condition that may affect the tattooing process, as well as any information needed for my appointment. I confirm that I am aware the healing process is under my control, and I understand that ensuring good aftercare practices is of the utmost importance.
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by checking this box I understand and accept this statement.
Signature
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We are committed to protecting your data; we work in partnership with JOTFORM to collect and store this document. Both JOTFORM and Savannah Studios are compliant with all GDPR’s and requirements.
by checking this box I understand and accept this statement.
Submit
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