Tattoo Release Form

TATTOO RELEASE
You are hereby notified of the possible risks and dangers associated with the application of each tattoo. These risk and dangers include, but are not limited to, at least the following:

- The possibility of discomfort or pain.
- The permanence of the markings.
- The risk of infection.
- The possibility of allergic reaction to the pigments or other materials used.

NO PERSON MAY BE TATTOOED WHO APPEARS TO DRUNK, HIGH OR CRAZY.
Here is a link to my AFTERCARE instructions, please read and let me know if you have any questions or concerns before moving forward.
I have read the aftercare instructions, expressed any concerns that I may have about getting tattooed, and have been informed where I can find them anytime during the healing process.*

Agree
Today's Date*

MonthDayYear
Date
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birth Date*

MonthDayYear
Date
Photo ID Upload (Front Only)*

Cancelof
Signature (First and Last Name)*
If this Agreement has been signed with an electronic signature the parties hereto consent and agree to the use of such electronic signature with respect to this Agreement pursuant to the Electronic Commerce Act, 2000, S.O. 2000, c17 as amended from time to time.
Once you've reached this, I will help you to fill out the rest. Just let me know.
Artist Name*

Michael Williams
Details and Location of Tattoo*
Brand of Ink*

DynamicNationalOther
Colors Used*

BlackBrownRedOrangeYellowGreenOlivePurpleBlueWhiteOther
Should be Empty:

TATTOO RELEASE