TATTOO CONSENT

TATTOO CONSENT

Your appointment will be rescheduled if incomplete
Date

MonthDayYear
Please read the following notice:

You are hereby notified of the possible risks and dangers associated with the application of each tatoo. These risk and dangers include, but are not limited to, at least the following:

I. the possibility of discomfort or pain;

II. the permanence of the markings;

III. the risk of infection; and

IV. the possibility of allergic reaction to the pigments or other materials used

NO PERSON MAY BE TATTOOED WHO APPEARS TO BE UNDER THE INFLUENCE OF ALCOHOL OR DRUGS

Please note that you will be required to provide a valid I.D. on the day of your appointment (to verifiy proof of age) and a copy will be made (for records) prior to being serviced
Name of individual receiving service*

First NameLast Name
Email
prettymenorah@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Date
YesNo
MedicareMedicaidOther
EMERGENCY CONTACT NAME*
EMERGENCY CONTACT #*
Please enter a valid phone number.Format: (000) 000-0000.
Minors need the written consent of a parent or legal guardian to receive a tattoo. An artist may not tattoo a person younger than 18 years of age without meeting the requirements of legislature of the State of Hawai'i Chapter (S321), whose parent or guardian determines it to be in the best interest of the minor in written notice prior to application of a permanent tattoo.
If you are consenting and a legal authorized guardian/parent for a minor, please write your consent below. be very details listing important information introducing yourself as well as the minor receiving service
parent consent to a minor
Name

First NameLast Name
Signature
Should be Empty:

TATTOO CONSENT

NO PERSON MAY BE TATTOOED WHO APPEARS TO BE UNDER THE INFLUENCE OF ALCOHOL OR DRUGS