Tattoo Consent Form 2023

This agreement is between Zeteo Ink Studio and the tattoo artist or apprentice and the client, indicating that full communication has taken place to ensure a legal, safe and successful procedure.

CLIENTS FULL NAME

Address

ADDRESS

Street Address Line 2

CITYSTATE

ZIP

PHONE

Format: (000) 000-0000.

EMAIL

example@example.com

AGE_

If signing for under 18 year old, are you there parent or legal guardian?

LEGAL GAURDIANS NAME

LICENSE NUMBER

ID Photo Upload

I am 18 years of age or older or have parental consent for this tattoo

Have you eaten within the last 2 hours prior to your appointment?

Do you have any allergies we should be aware of such as latex, iodine, or any other products we may use?

Have you ingested blood thinners such as aspirin or ibuprofen 24 hours prior to your tattooing appointment?

Have you consumed alcohol or other intoxicants within 24 hours to receiving your tattoo procedure?

Do you have a condition that might affect the procedure or healing process such as lupus, diabetes or hemophilia?

Are you prone to fainting

l understand that the artist cannot be held responsible if my body reacts negatively to the ink or other tools used

I understand that I am responsible for looking after my tattoo

I understand by receiving a tattoo, I am at risk of fainting, vomiting, and infection including bacterial endocarditis for patrons with a heart condition

Please indicate if you have any of these conditions by listing then below. Heart disease, diabetes, epilepsy, H.I.V/ A.I.D.S, hepatitis keloids, heavy bleeding, pregnancy or cold sores

I understand that I may be tattooed by an Apprentice of Zeteo Ink studios who is still learning the trade

I have answered all the above questions truthfully. I am fully aware of and take full responsibility for the tattoo I am receiving, the risks involved, the healing time and the daily aftercare procedure.

Signature

Date

Aftercare instructions given

Aftercare product recommendations given

Return appointment advised

YES/NO