• Client Information

  • Date of Birth*
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  • Format: (000) 000-0000.
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  • Please check here if you’d like a “Silent Appointment” :) This is for you if you’d prefer to relax without chit-chat during your tattoo. Feel free to bring headphones to listen to your own music or a podcast, etc. Silent appointments are just like regular appointments, but I will only talk with you when absolutely necessary before, during and after the tattoo.*
  • Do you have a latex allergy?*
  • Do you have any adhesive allergies?*
  • Are you taking any blood thinning medications?*
  • Are you nursing or pregnant?*
  • Do you swell easily?*
  • Are there any moles, scarring, eczema, wounds, acne, or any notable skin conditions on the area you wish to get tattooed?*
  • Are you using Accutane?*
  • Have you gone through chemotherapy treatment in the last year?*
  • Do any of the following medical conditions apply to you?*
  • I, the undersigned, believe this information to be complete and accurate.

  • Date*
     - -
  • Kristen Best | BAP-TA-10228347 | Exp. 12/31/2025

  • Consent to Tattoo Procedure

  • Date & Time of Service*
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  • I acknowledge by signing this agreement that I have been given the full opportunity to ask any and all questions which I might have about obtaining a tattoo, and that all of my questions have been answered to my full satisfaction. I acknowledge I have been advised of the facts and matters set forth below and I agree to the following:

    • If I have diabetes, epilepsy, hepatitis, hemophilia, HIV-AIDS or any other communicable disease, heart condition or take medicine that thins the blood, I have advised my tattooist. I am not pregnant or nursing. I am not under the influence alcohol or drugs.

    • I do not have medical or skin conditions such as but not limited to: acne, keloid scarring, eczema, psoriasis, moles or sunburn in the area to be tattooed that may interfere with the tattoo.

    • I acknowledge it is not reasonably possible for the representatives and employees of this establishment to determine whether I might have an allergic reaction to the pigments or processes used to apply my tattoo, and I agree to accept the risk that such a reaction is possible.

    • I acknowledge that infection is always possible when obtaining a tattoo, particularly in the event that I do not take proper care of my tattoo. I have received aftercare instructions and I agree to follow them while my new tattoo is healing. I agree that any touch up work needed due to my own negligence will be done at my own expense.

    • I understand that variations in color and design may exist between the art I have selected and as ultimately applied to my body, due to all skin being different.

    • I understand that colors may fade over time. I understand that over-exposure to the sun will seriously affect the lifetime of my tattoo.

    • I understand that if I have any skin treatments, laser hair removal, plastic surgery or other skin altering procedures, it may result in adverse changes to my tattoo.

    • I acknowledge that a tattoo is a permanent change to my appearance and that no representations have been made to me as to the ability to later change or remove my tattoo.

    • To my knowledge, I do not have any physical, mental, or medical impairment that might affect my ability to make a decision to receive a tattoo.

    • I acknowledge I am over the age of eighteen (18) and that I have truthfully represented to my tattooist that obtaining a tattoo is by my choice alone. I consent to the application of the tattoo and any actions reasonably necessary to perform the tattoo procedure.
  • Date*
     - -
  • Kristen Best | BAP-TA-10228347 | Exp. 12/31/2025

  • Consent to Photography

  • I hereby give permission to Kristen Best to use my name and photogenic likeness in all forms and media for advertising, trade, and any other lawful purposes.

  • Date
     - -
  • Kristen Best | BAP-TA-10228347 | Exp. 12/31/2024

  • Aftercare Instructions

    Please read through the following aftercare instructions and sign below acknowledging that you have done so! You will get a copy of this emailed to you after your appointment.
  • Date*
     - -
  • Kristen Best | BAP-TA-10228347 | Exp. 12/31/2024

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