Tattooing Criteria
Make sure to carefully read and fill out this form before booking your tattooing procedure
Are you over the age of 18?
*
Yes
No
Are you pregnant or breastfeeding
*
Yes
No
Have you previously had problem with anaesthetics working?
*
Yes
No
Have you had botox or fillers in your face during the last two weeks?
*
Yes
No
Do you suffer from cold sores?
*
Yes
No
Are you a heavy bleeder or bruise easily?
*
Yes
No
Do you have a blood clotting condition?
*
Yes
No
Does your skin keloid scar?
*
Yes
No
Have you had issues with loss of pigment or darkening of the skin?
*
Yes
No
Do you have any auto-immune or hormonal condition?
*
Yes
No
Do you have any skin conditions, such as eczema, psoriasis, rosacea or acne?
*
Yes
No
Are there scars, moles or skin cancers present in the area you wish to be tattooed?
*
Yes
No
Do you have a lash/brow serum?
*
Yes
No
Do you have any mental health condition?
*
Yes
No
Do you regularly donate blood?
*
Yes
No
First and Last Name
*
Signature
Clear
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Submit
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform