COSTA MESA TATTOO DEPOSIT

CM Tattoo Deposit Form - Mario Garcia

Please Read over carefully and complete the fields below.
Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Email *
example@example.com
Artist *
Deposit amount (unless a different amount discussed with artist)
Tattoo Description *
Please write in a brief description of your tattoo. Include subject matter, approximate size, placement, and any other pertinent details.
Appointment Date and Time (as discussed with artist)
Deposit Amount: $100.00 (unless otherwise discussed).
I agree to leave a NON-REFUNDABLE and NON-TRANSFERABLE deposit for one or more tattoo appointments. The deposit will go toward the payment for my scheduled appointment(s). For multiple session tattoos, the deposit will be deducted from the cost of the final session. I must give the tattoo artist/shop more than 24 hours notice to reschedule my appointment, or i will forfeit my deposit. *
initials
I must notify the artist / shop more than 1 day beforehand to reschedule an appointment, or I will forfeit my deposit. *
initials
I must notify the artist / shop only by calling the shop phone during business hours. I understand that an email, voicemail, or any other online messaging will not suffice as notice. *
initials
If I am late more than 15 minutes to my scheduled appointment, I forfeit my deposit. *
initials
I can only reschedule my appointment up to 2 times, or I forfeit my deposit. If I am getting a multiple session tattoo, I can only reschedule 2 of those sessions, or I forfeit my deposit. *
initials
I understand that if I am sick or have a rash, wound burn, skin irritation, or any other factor that might affect the area to be pierced, I will not be able to get tattooed and must notify the artist / shop accordingly - prior to the appointment day. *
initials
I agree to a $75 minimum charge per session. *
initials
By signing below, I acknowledge that I have read and agree to the terms stated above. *

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Today's Date

Month Day Year
Date

Please check any of the
following conditions that apply

Covid-19 / Corona Virus
(or if I have been exposed)

Diabetes

Epilepsy

T.B.

Hepatitis

HIV / AIDS

Hemophilia

Scarring / Keloiding

Pregnant / Nursing

Heart Condition

Eczema / Psoriasis

Herpes

Cardiovasular Disease

Faint or DIzzy

Infections

Asthma

Blood Thinners

Please list any allergies, diseases, condtions, medications, or any known illnesses below. If none, please write "none". *
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CM Tattoo Deposit Form - Mario Garcia