I declare that the information I have provided on my medical history is correct to the best of my knowledge and that I am not currently under the influence of alcohol or drugs. I hereby give consent for the procedure detailed above to be carried out by the named operator. I can confirm that I have been provided with the written information on (I) the potential complications associated with the procedure and (II) appropriate aftercare advice for the procedure. I agree that it is my responsibility to read this and follow the aftercare advice given until the treatment area is fully healed. I give my consent to the operator to retain the details provided on this form for a period of 2 years from today’s date.

*If tattooed by an apprentice, I am fully aware that the apprentice is supervised by a fully trained and licensed tattoo artist who will ensure the hygiene requirements are met and standard of work is as high as possible. I agree to ‘The Studio’ holding onto my details, knowing that it will not be passed onto any third parties and will be used within strict GDPR guidelines.