New Client Consultation Form

COVID-19 Pandemic Tattoo Consent Form

Sim1nk Tattoo & Beauty Studio
Name *

First Name Last Name
Date of signing this form *

Month Day Year
When is your appointment date? *

Month Day Year
Which Tattooist/Technician is your procedure/treatment with? *
I knowingly and willingly consent to having a tattoo service(s) during the COVID-19 pandemic. *

by checking this box I understand and accept this statement.
To prevent the spread of contagious viruses and to help protect each other, I understand that I will have to follow the tattoo Studios strict guidelines *

by checking this box I understand and accept this statement.
I understand that air travel significantly increases my risk of contracting and transmitting the COVID-19 virus. I know that the CDC and OSHA recommend social distancing of at least 2m. *

by checking this box I understand and accept this statement.
I understand that due to the frequency of visits of other clients, the characteristics of the virus, and the characteristics of tattoo services, that I have elevated the risk of contracting the virus by merely being in the studio company. *

by checking this box I understand and accept this statement.
I understand the COVID-19 virus has a long incubation period during which carriers of the virus may not show symptoms and still be highly contagious. It is impossible to determine who has it, and who does not give the current limits in virus testing. *

by checking this box I understand and accept this statement.
I verify that I have not travelled outside the United Kingdom In the past 14 days to countries that have been affected by COVID-19 *

YES NO
Tattoo Shop Symptoms Policy

I agree not to come to the TattooStudio with the following symptoms of COVID-19 listed below: Fever - Temperature Shortness of breath Loss of sense of taste or smell Dry cough Runny nose Sore throat
I understand, read, and completed this questionnaire truthfully. I agree that this constitutes full disclosure and that it supersedes any previous verbal or written disclosures. I understand that this document is to provide the best possible guest experience when visiting Sim1nk Tattoo & Beauty Studio *

Yes
Signature *

Clear
Should be Empty:

COVID-19 Pandemic Tattoo Consent Form

Tattoo Shop Symptoms Policy