Tattoo Consent Form

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Date of appointment*

Date

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Tattoo & Exact Location*

I.e. tattoo of flower on right wrist

Tattoo Quote $*

Age as of your appointment*

ID for age verification*

I acknowledge I have been advised of the facts and matters set forth below and I agree as follows:

If I have diabetes, epilepsy, hepatitis, hemophilia, HIV-AIDS or any other communicable disease, heart condition or take medicine which thins the blood, I have advised my artist.

I am not pregnant or nursing.

I am not under the influence of drugs.

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

I acknowledge that infection is always possible as a result of the obtaining tattoo, particularly in the event that I do not take proper care of my tattoo.

I agree to follow aftercare instructions while my tattoo is healing.

I realize that variations in color and design may exist between any tattoo as selected by me and as ultimately applied to my body.

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

I acknowledge that a tattoo is a permanent change to my appearance and do not hold my artist liable for or the ability to later change or remove my tattoo.

I acknowledge I am over the age of 18 and that I truthfully represented to my artist that the obtaining of a tattoo is by my choice alone.

I fully understand the tattoo artist does not act as a medical professional.

I agree to release and discharge my artist from any and all claims, damages, or legal actions arising from or connected to my tattoo.

Signature to indicate that I have fully read the above passage*

By filling out this agreement, I grant permission for my photos to be taken on my appointment date. I understand that photographs taken of me during the session may be used wholly or in part, on the internet, in any publication, portfolio, or display, or in any other print or electronic medium as my artist chooses. I will make no monetary or other claim against this artist for the use of photographs.

Signature to indicate that I have fully read the above passage*