Amoore Space Tattoo Consent Form

2169 Folsom street

San Francisco, California
Tattoo consent form
Date

MonthDayYear
Date
Full Name*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Verification of Age
Date of Birth
Must be 18 years or older for tattoo service
Type of Photo ID Provided
Driver license, passport, etc.
ID Number
Health Information
Do you have any allergies (especially to latex, medical tape, ink)?

YesNo
If yes, please specify
Do you have any medical conditions that could affect the tattooing process or healing (e.g., blood-borne diseases, immune system disorders, skin conditions)?

YesNo
If yes, please specify
Are you currently on any medication, such as blood thinners, that could affect the tattooing process?

YesNo
If yes, please specify
Tattoo Details
Description of Tattoo
include location, size, colors
Consent to Procedure
I hereby consent to receiving a tattoo from Amoore Space Studio and understand that by signing this consent form, I commit to the tattoo process and aftercare instructions provided by my artist.
Risks and Complications Acknowledgment
I understand that there are risks associated with getting a tattoo, including but not limited to infection, allergic reactions, and potential dissatisfaction with the final appearance. I have had the opportunity to ask questions about the process, and all my questions have been answered to my satisfaction.
Aftercare Acknowledgment
I acknowledge that I have received detailed aftercare instructions and understand the importance of following them to ensure proper healing of my tattoo.
Release and Waiver of Liability
I hereby release Amoore Space Studio and its tattoo artists from all liabilities associated with this tattoo, provided that standard health and safety protocols are followed.
I affirm that the information I have provided is true and accurate to the best of my knowledge, and I understand the contents and implications of this consent form.
Signature

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Tattoo consent form

Verification of Age

Health Information

Tattoo Details

Consent to Procedure

Risks and Complications Acknowledgment

Aftercare Acknowledgment

Release and Waiver of Liability