TATTOO CONSENT FORM

CONSENT RELEASE FORM
I acknowledge by signing this release form that I have been given the full opportunity to ask any and all questions I might have about obtaining a tattoo from Found Soul Tattoo. I acknowledge that all my questions have been answered to my full and total satisfaction. I specifically acknowledge that I have been advised of the facts and matters set forth below, and I agree as follows
Name*

First NameLast Name
Birthdate*

MonthDayYear
DL/ID#*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Date*

MonthDayYear
I am not under the influence of alcohol or drugs.
I have looked over my design, checked the spelling if applicable, and give my full consent to the application of my tattoo.
I acknowledge that I am not pregnant.
I do not have any blood transferrable diseases or infections.
I acknowledge that I have truthfully represented to the associates, agents and representatives of Found
I acknowledge that I have truthfully represented to the associates, agents and representatives of Found Soul Tattoo that I am over eighteen (18) years of age.
I acknowledge it is not reasonably possible for the associates, agents and representatives of Found Soul Tattoo to determine whether I might have an allergic reaction to the dyes, pigments, or processes used in my tattoo and I agree to accept that such risks are possible.
I acknowledge that infection is always possible as a result of obtaining a tattoo particularly in the event that I do not take proper care of my tattoo, and I have been advised of the signs and symptoms of infection that indicates a need to seek medical care.
I acknowledge receipt of written instructions advising me of proper care of my tattoo and recognize the absolute necessity of following those written instructions.
I acknowledge that variations in color and design may exist between any tattoos as selected by me and as ultimately applied to my body.
I agree to release and forever discharge and forever hold harmless Found Soul Tattoo and its associates, agents officers and shareholders from any and all claims, damages, or legal actions arising from or connected in any way with my tattoo or the procedures and conduct used to apply my tattoo and any and all tattoos applied by Found Soul Tattoo and its associates, agents and representatives in the future.
I acknowledge that tattoo inks, dyes, and pigments have not been approved by the federal Food and Drug Administration and the health consequences of using these products are unknown.
I agree to follow all instructions concerning the care of my tattoo, and that any touch-ups needed because of my own negligence will be done at my own expense.
I, First Name* Last Name* have been fully informed of the risks of tattooing including but not limited to infection, scarring, difficulties in detecting melanoma, and allergic reactions to tattoo pigment, latex gloves, and antibiotics. Having been informed of the potential risks associated with getting a tattoo, I still wish to proceed with tattoo application and I assume any and all risks that may arise from tattooing.
Procedure description and location*
Signature*

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Your Artist*
INK COLOR / LOT#/EXP.DATE*
INK COLOR / LOT#/EXP.DATE
INK COLOR / LOT#/EXP.DATE
INK COLOR / LOT#/EXP.DATE
CARTRIDGES/LOT#/EXP. DATE*
CARTRIDGES/LOT#/EXP. DATE
CARTRIDGES/LOT#/EXP. DATE
CARTRIDGES/LOT#/EXP. DATE

CONSENT RELEASE FORM

‼️Give to you’re artist before submitting‼️