Maggie Tattoo Consent Form

Tattoo Consent Form

Maggie Stockman Green @ lilpeggyhill
Date*

MonthDayYear
Date
Legal Name*

First NameLast Name
Preferred Name
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Email*
example@example.com
Your Date of Birth*

MonthDayYear
Date
State License or ID Number*
Phone Number*

Area CodePhone Number
armlegtorso(chest or back)Other
Description of Tattoo*
Exact spelling of any script in tattoo
Acknowledgment

I acknowledge by signing this consent form that I have been given the full opportunity to ask any questions which I might have about obtaining a tattoo and that all of my questions have been answered to my full satisfaction. The tattoo artist will use new needles for the tattoo and provide care instructions once the tattoo is complete. I hereby release my tattoo artist and this studio from all liability, claims, actions, and demands in law, or in equity, which I may have by obtaining this tattoo. I also acknowledge I have truthfully and accurately answered the questions listed below
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
If yes, please specify below:
YesNo
YesNo
YesNo
If yes, please list below:
YesNo
YesNo
YesNo
If yes, please list:
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
If no, please remind your tattoo artist not to take pictures of you and your completed tattoo.
YesNo
YesNo
YesNo
By signing this form, I reaffirm the answers provided above.
Date*

MonthDayYear
Date
Type name:*
Client's Signature:

Clear
Please take a photo of your ID*
STOP!

Bring your ID and this form to your artist for their signature.

Please do not submit before the artist has signed!
Artist's Signature:

Clear
Should be Empty: