TATTOO CONSENT FORM
the information on this form is for business purposes only and will not be shared or sold for any reason.
NAME: (that you prefer to be called)
PRONOUNS:
EMAIL:
*
example@example.com
INSTAGRAM HANDLE: (please include any spaces or characters)
*
TIK TOK HANDLE: (please include any spaces or characters)
Is it okay to tag you? (this makes it easier for me to reach out in the future should i need to contact you for any reason!)
*
i consent to being tagged in social media
i do not want to be tagged in social media
please upload a photo of your government ID
*
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NAME: (as it appears on ID)
First Name
Last Name
BIRTHDATE:
*
-
Month
-
Day
Year
Date
ADDRESS: (as it appears on ID)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
PLEASE READ EACH STATEMENT AND CHECK THE BOX TO AGREE:
I am at least 18 years of age and have provided valid identification.
I am able to make reasonable decisions and am not under the influence of substances or unstable physical or mental conditions. I am voluntarily submitting myself to receive body art without duress or coercion.
I understand that a tattoo is permanent and may only be removed with a laser or surgical procedure, and even then skin may not be restored to its original condition.
i am not pregnant.
If i have a heart condition, diabetes, epilepsy, or any other health condition that could effect my tattoo during the appointment or after i have notified my artist and acknowledge the risk.
i am not taking blood thinning medications or other medications that could interfere with a tattoo process or healing.
i have notified my artist if i have skin conditions such as but not limited to; eczema, psoriasis, keratosis pilaris, acne, freckles, moles, or sunburn that could interfere with tattoo appearance, healing, and future skin health, and if i do i acknowledge this risk.
i have informed my tattoo artist of any allergies i may have, and agree that it is not reasonably possible for my artist to predict allergic or harmful reactions to products used to tattoo. i agree to accept the risk that such a reaction is possible.
i acknowledge that infection is possible, particularly in the event that i do not take proper care of my tattoo during the healing process. i have been provided aftercare instructions, agree with and am able to meet the conditions of the instructions, and acknowledge that my artist is not liable in the case of an infection.
I am aware of the signs and symptoms of infection, including but not limited to, redness, swelling, tenderness of the procedure site, red streaks going from the procedure site towards the heart, elevated body temperature, or purulent draining from the procedure site.
i understand that a tattoo artist is not a medical professional. any suggestions made by them to me are not to be construed as or substituted for advice from a medical professional.
i acknowledge that tattooing is a manual process, and that it is not possible to precisely copy a proposed design into a tattoo. deviations in shape, color, line quality, density, skin texture and detail are likely to occur during the tattooing process.
I acknowledge that it is not reasonably possible for me or my artist to predict how a tattoo will heal on my body, and that my tattoo will change in appearance as it heals and throughout time. deviations in shape, color, line quality, density, scarring, skin texture, and detail are likely to occur over the lifetime of the tattoo, and my artist is not obligated to touch up or add to my tattoo after our session. If wanted and agreed upon by my artist, a touch up will be scheduled at my own expense.
i agree to covid protocol (including wearing a mask) and acknowledge the risk of transmission despite these preventative measures.
I agree to allow the tattoo artist/studio to take photos of the tattoo and use the images in promotional materials. if i'm uncomfortable with this idea i have mentioned it to my artist and will not check this box.
Signature
*
by signing this form i acknowledge consent to all conditions stated above
SUBMIT
SUBMIT
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