Tattoo Consent Form

Tattoo Consent Form
Client Information
Full Name*

First NameLast Name
Pronouns
*STUFF TO NOTE BEFORE BOOKING*

-My minimum rate is $70 / 300 lei

-I always require a $25 NON-REFUNDABLE deposit to reserve your spot

-If you initially book for a piece and want to change pieces, a new deposit is required if you give me less than a week notice

-If rescheduling your appointment, your deposit can be transferred to a new date if you reschedule at least 3 DAYS prior to your upcoming appointment. Any rescheduling within 72 hours requires a new $25deposit.

- Candy Bloo
Age*
Date of Birth*

MonthDayYear
Date
Phone Number*
Format: (000) 000-0000.
Email*
example@example.com
Pre-Procedure Questionnaire
Are you under the influence of drugs or alcohol?*

YesNo
FEMALE ONLY: Pregnancy or Nursing?*

YesNo
Do you have a communicable disease?*

YesNo
Skin conditions (e.g. Rashes, eczema, infection, psoriasis, freckles, etc.)*
If yes, please identify the condition.
Medical History (e.g. DIabetes, Cardiovascular Disease, Epilepsy, Blood-related disease etc.)*
If yes, please identify the condition.
Send me your reference picture/pictures!

Cancelof
Size (in cm) and placement (list a couple if you’re unsure)
What days work best for you ?*

MondayTuesdayWednesdayThursdayFridaySaturday
What time works best for you?*

Morning (11:00 AM )Afternoon (2:00 PM)Evening ( 6:00 PM)
Instagram @*
Flash or custom ?*

FlashCustom
Is it your first tattoo?

YesNo
Acknowledgment and Waiver
*

I understand that this procedure is a permanent change to my skin and body.
*

I allow my tattoo to be photographed and be used for Tattoo Shop portfolio showcased.
*

I acknowledge that the Tattoo Shop does not offer refund.
*

I agree that the studio does not have a way of identifying if I am allergic to the elements or ingredients that will be used for my tattoo.
*

I understand that I need to take care of the tattoo by following the instructions given to me by the Tattoo Shop.
*

I understand that I might get an infection if I don't follow the instructions given to me in regards of taking food care of my tattoo.
*

I indemnify and hold harmless the Tattoo Shop against any claims, expenses, damages, and liabilities.
*

I confirm that the information I provided in this document is accurate and true.
Signed Date*

MonthDayYear
Date
Client Signature*
Thank you for your trust !

I will get back to you shortly via Email !
I look forward to meeting and working with you!
Should be Empty:

Tattoo Consent Form

Client Information

Pre-Procedure Questionnaire

Acknowledgment and Waiver