All In Ink Consent Form
This form is NOT a way of booking, please email me to book!:)
Name
*
Legal name if different
Pronouns
*
If applicable
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Instagram handle
Date of appt.
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Design and location
*
I.e. tattoo of bird on left forearm
Age as of your appt.
(must be 18 or older)
Risks and Health concerns
I acknowledge I have been advised of the facts and matters set forth below and I agree as follows: If I have diabetes, epilepsy, hepatitis, hemophilia, HIV-AIDS or any other communicable disease, heart condition or take medicine which thins the blood I have advised my tattooer.
I am not pregnant or nursing.
I am not under the influence of alcohol or drugs.
I acknowledge it is not possible for the artist to determine whether I might have an allergic reaction to the pigments or processes used in my tattoo, and I agree to accept the risk that such a reaction is possible.
I acknowledge that infection is always possible as a result of the obtaining of a tattoo, particularly in the event that I do not take proper care of my tattoo. I agree to follow aftercare instructions while my tattoo is healing.
I realize that variations in color and design may exist between any tattoo as selected by me and as ultimately applied to my body.
I understand that if I have any skin treatments, laser hair removal, cosmetic surgery or other skin altering procedures, it may result in changes to my tattoo.
I acknowledge that a tattoo is a permanent change to my appearance and do not hold my tattooer liable for or of the ability to later change or remove my tattoo.
I acknowledge that I am not currently on Accutane, or have taken A dose in the last year
I acknowledge I am over the age of eighteen and that I have truthfully represented to my tattooer that the obtaining of a tattoo is by my choice alone. I fully understand the tattoo artist does not act as a medical professional. I agree to release and discharge my artist from any and all claims, damages, or legal actions arising from or connected to my tattoo and the procedure used in the application of my tattoo. I consent to the application of the tattoo. My tattoo artist and I recognize that I may revoke this consent at any time before or during the tattoo procedure.
Signature
Drivers license number
Upload a picture of your ID
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By filling out this agreement I grant permission for my photos to be taken on today’s date. I understand that photographs taken of me during this session may be used, wholly or in part, on the internet, in any publication, portfolio, or display, or in any other print or electronic medium as this artist chooses, unless otherwise specified below. I confirm I am 18 years of age or older. I will make no monetary or other claim against this artist for use of the photographs. I understand that my name may or may not be included/credited in any form of publication unless requested otherwise.
This is how my artist may use my photo:
*
Use my images on social networks, publications, portfolios, and/or displays.
Keep my images private, do not share with anyone.
Do not take my photo.
I understand that if I withhold information or lie on this form that the artist is not liable for the repercussions that may arise, from withheld information
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