Tattoo Consent Form

Tattoo Consent Form
Artist*
Location of the tattoo on body*
Ex. Left forearm, outer right forearm, inner left bicep, sternum, spine, left thigh, etc.
Tattoo description*
Today's Date*

MonthDayYear
Date
Client Name*

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

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Client Date of Birth*

MonthDayYear
Date
Submit photo of front of government issued ID *

Front of ID
Cancelof
Type of ID*
ID #*
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Emergency Contact Relationship*
(Ex. Mother, father, sisters, friend, etc)
I am the person on the legal ID presented as proof that I am at least 18 years of age.*

Acknowledge
I am NOT pregnant nor breastfeeding.*

Acknowledge
I am in good health to get a tattoo today.*

Acknowledge
I am not under the influence of alcohol or drugs and I am voluntarily submitting myself to get a tattoo without duress or coercion.*

Acknowledge
I understand that getting a tattoo is a permanent change to my body and can only be removed by a surgical procedure that may leave scarring.*

Acknowledge
I have informed the artist of any allergies or skin sensitivities that I may have, any medications I am taking, and any medical treatments I am currently taking.*

Acknowledge
I grant the artist permission to tattoo me and I do not hold them responsible for any adverse health reactions or undesired results.*

Acknowledge
I understand that my tattoo artist will do their best to achieve my desired results understanding my tattoo may not look exactly like the picture shown.*

Acknowledge
I agree to follow aftercare instructions but I recognize that getting an infection is still a possibility.*

Acknowledge
I understand that there is a chance I might feel lightheaded or dizzy during or after the session. I agree to immediately notify the artist in the event that I feel lightheaded, dizzy, clammy, and/or faint before, during, or after the session.*

Acknowledge
I acknowledge that this consent form will cover the entire service as well as any subsequent services I may have.*

Acknowledge
I consent to any photos and videos that are taken of me and consent to them being used as promotional tattoo content online.*

Acknowledge
How did you hear about us/your artist?

Shop InstagramIndividual Artist InstagramGoogle/Search EngineDrive/Walk-byTikTokMaps (Google/Apple)Word of MouthOther
Signature
Please hand to artist to fill out next portion
Needles used: *
With LOT Ex. Kwadron 1rl 0505, 3rl 0518
- Parent/Guardian Name
  
  First NameLast Name
- Relationship to Client
- Picture of Birth Certificate or ID
- Dynamic Regular
  
  Black - 62021260 Exp. 06/21/2026Greywash 20 - 62029160 Exp. 06/19/2026Greywash 40 - 62020260 Exp. 06/20/2026Greywash 60 - 62022260 Exp. 06/22/2026Greywash 80 - 62026260 Exp. 06/26/2026Triple Black - 6202760 Exp. 06/27/2026Triple White - 62028270 Exp. 07/28/2026
- Dynamic Color
  
  NA
- Empire
  
  Dark Greywash - GWD-262A Exp. 11102026Light Greywash - GWL-253A Exp. 09252026Medium Greywash - GWM-264A Exp. 11092026Xtra Light Greywash - GWX-247C Exp. 11022026
- Eternal Ink
  
  Lavender .5 oz - NOTI824
- Fusion Tattoo Ink
  
  Bubblegum Pink 1 oz - 108-012624 Exp. 01/26/28Pretty Purple .5 oz - 104-101823 Exp. 10/18/27Saigon Pink .5 oz - 122-030425 Exp. 03/04/29
- Kuro Sumi
  
  Rising Sun Orange .75 oz KSRSO 77487 Exp 11/08/2026
- Radiant
  
  Absolute Blue .5 oz Lot. 01 Exp. Oct 2028Blood Red 1 oz Lot. 89 Exp. Jul 2029Bodhi Leaf 2.0 oz Lot. 07 Exp. Apr 2028Bordeaux 1oz Lot. 73915 Exp. Oct 2029Canary Yellow 1 oz Lot. 87 Exp. Jan 2029Crimson Red 1 oz Lot. 60 Exp. Sept 2028Coco 1 oz Lot. 47 Exp. Jun 2028Copper .5oz Lot. 35 Exp. Jun 2026Dark Green .5 oz Lot. 53 Exp. Nov 2028Dragon Fruit .5oz Lot. 31 Exp. Dec 2029Electric Blue 1oz Lot. 67 Exp. Oct 2028Emerald .5oz Lot. 49 Exp. Apr 2028Frosting .5oz Lot. 12 Exp. Jun 2026Fushchia 1oz Lot. 64 Exp. Jul 2029Grape .5oz Lot. 47 Exp. Nov 2028Hibiscus .5oz Lot. 01 Exp. Dec 2029Honey Yellow 1oz Lot. 25 Exp. Jan 2028Indigo .5oz Lot. 28 Exp. Oct 2026L.A. Pink .5oz Lot. 46 Exp. Jun 2028Leaf Green 1oz Lot. 37 Exp. Jul 2029Medium Brown 1oz Lot. 37 Exp. Mar 2028Olive 1oz Lot. 42 Exp. Mar 2028Oriental Blue 2oz Lot. 06 Exp. Apr 2029Radiant White 4 oz Lot. 80 Exp. Sept 2027Sienna 1oz Lot. 36 Exp. Mar 2026Soft Blue .5oz Lot. 29 Exp. Oct 2026Super White 1oz Lot. 142 Exp. Jan 2029Teal .5oz Lot. 60 Exp. Mar 2028Tiger Orange 1oz Lot. 64 Exp. Oct 2028Villain Green 1 oz Lot. 05 Exp. May 2028Villain Green 1 oz Lot. 05 Exp. Oct 2026Violet 1oz Lot. 62 Exp. Jan 2029
- Solid Ink
  
  Anonymous 1 oz 06.12.24 Exp 06/2028Baroness 1oz 04.23.24 Exp 04/2028Bordeaux .5 oz 09.13.21 Exp 09/2025Chris Garver 1 oz 04.11.24 Exp 04/2028Chocolate 1 oz 08.14.24 Exp 08/2028Cool Grey 1 oz 08.21.24 Exp 08/2028Deep Red 1 oz 08.13.24 Exp 08/2028Fig 1 oz 06.28.24 Exp. 06/2028Flesh 1 oz 08.14.24 Exp 08/2028Horitomo Green 1 oz 01.25.24 Exp 01/2028Lilac 1 oz 05.14.24 Exp 05/2028Lining Black 1 oz 04.13.22 Exp 04/2026Mold 1 oz 08.13.24 Exp 08/2028Mustard 1oz 07.17.24 Exp 07/2028Old Rose 1 oz 07.10.24 Exp 07/2028Olive .5 oz 11.05.21 Exp 11/2025Orange .5 oz 02.18.22 Exp 02/2026Orchid 1 oz 01.19.24 Exp 01/2028Petroleum 1 oz 08.06.24 Exp 08/2028Red 1 oz 07.25.23 Exp 07/2027Silver 1 oz 08.23.22 Exp 08/2026Super Red 1 oz 11.21.23 Exp 11/2027Taupe 1 oz 08.14.24 Exp 08/2028The Mixer 2 oz 11.07.23 Exp 11/2027Ultramarine 1 oz 03.24.23 Exp 03/2027Yerba 1 oz 08.13.24 Exp 08/2028White .5 oz 02.25.23 Exp. 02/2026
- Viking Ink
  
  NA
- World Famous
  
  Marigold Twine 1oz Lot 214477 Exp. 2/13/29Mona Lisa Skin .5oz Lot 163305 Exp. 5/30/2028Tucan Tangerine 1oz Lot 225388 Exp. 5/13/29Ornate Rococo 1oz Lot: 201436 Exp. 10/07/2028
- Dynamic
  
  Black 8oz 82024060 Exp. 6/2880 Greywash 4oz 72026290 Exp. 9/2760 Greywash 4oz 82021230 Exp. 3/2840 Greywash 1oz 72023111 Exp. 11/2740 Greywash 4oz 72021260 Exp. 06/2720 Greywash 1oz 72024111 Exp. 11/2700 Mixing Solution 1oz 72021111 Exp. 11/27Fire Red 1oz 72023240 4/23/27Triple White 1oz 72026190 Exp. 09/27
- Dynamic
  
  Black 8oz 72027121 Exp. 12/27
- Eternal Ink
  
  Avocado 2oz M072023 Exp. 07/27Blue Concentrate 2oz N072524 Exp. 07/28Bright Orange 4oz M010523 Exp. 06/29Brown 2oz M042023 Exp. 04/27Cool Light Gray 2oz K020421 Exp. 01/26Deep Red 2oz N040424 Exp. 03/28Electric Raspberry 1oz N040424 Exp. 04/28Geisha Pink 2oz L07822 Exp. 07/26Grape Leaf 2oz K091621 Exp. 09/25Jungle Green 4oz M083123 Exp. 08/27Light Purple 4oz K042221 Exp. 04/25Lightning Yellow 4oz L032422 Exp. 03/26Lipstick Red 4oz M061523 Exp. 06/27Nuclear Green 1oz L040722 Exp. 03/26Ochre 4oz L040722 Exp. 04/26Olive 1oz P013025 Exp. 01/29Peony Purple 2oz M061523 Exp. 06/27Sable 2oz L091522 Exp. 06/26Sakura Pink 2oz M120723 Exp. 11/27Solid Gold N051624 Exp. 05/20
- Fantasia Art Supply
  
  Crimson 4306 Exp. 05/26Lime Green 4318 Exp. 05/26Slate Gray 4467 Exp. 05/26Turquoise 4428 Exp. 05/26
- Solid Ink
  
  Diablo 4oz 21160 Exp. 08/28Flesh 4oz 21108 Exp. 06/28Rose 4oz 77891 Exp. 11/27
- Starbrite Colors
  
  Brite White 8oz BW800334 Exp. 06/29Country Blue 2oz CT216195 Exp. 06/29Midnight Blue 2oz MDB60153-6 Exp. 02/26
- Dynamic
  
  BLK (Black) 8oz 82028270 07/28/202880 Greywash 4oz 52028290 09/28/202560 Greywash 4oz 52020390 09/30/202540 Greywash 4oz 52024001 10/04/202520 Greywash 4oz 52020101 10/10/2025WD1 (White) 8oz 620240201 10/20/2026
- Eternal Ink
  
  Bright Orange .5oz M050423 05/01/27Bright Yellow .5oz M030223 02/27/27Caramel .5oz M042773 04/21/27Crimson Red .5oz M042773 04/21/27Dark Red .5oz M040623 03/29/27Dark Purple .5oz M033023 03/21/27Deep Red .5oz M052523 05/17/27Graffiti Green .5oz M042723 04/20/27Golden Yellow .5oz M041323 04/05/27Hot Pink .5oz M042023 04/12/27Light Magenta .5oz M041323 04/05/27Light Purple .5oz M042723 04/18/27Lightning Yellow .5oz M051123 05/04/27Lime Green .5oz M032323 03/21/27Lipstick Red .5oz M071323 07/10/27Mint Green .5oz M072023 07/13/27Orange .5oz M032323 03/16/27Pink .5oz M033023 03/21/27True Blue .5oz M040623 03/30/27Sky Blue .5oz M061523 06/06/27
- Vintage Ink
  
  Camo Green .5ozClassic Pink .5oz
- Allegory
  
  Black 8oz AB10247 Exp. 12/29
- Chroma
  
  Medium Brown 1oz 03.25 Exp. 12/31/30Olive Green 1oz 03.25 Exp. 12/31/30Plum 1oz 03.25 Exp. 12/31/30Robin's Egg Blue 1oz 03.25 Exp. 03/31/30School Bus Yellow 1oz 03.25 Exp. 12/31/30White 1oz 03.25 Exp. 12/31/30
- Eternal Ink
  
  Bright Orange .5oz N022224 Exp. 02/21/28Red Cross 1oz N101024 Exp. 10/02/28Smoke .5oz N072524 Exp. 07/26/28Turquoise .5oz N081524 Exp.08/09/28
- Dynamic
  
  Baby Blue 1oz 290124 07/2026Black 1oz 72020170 07/2027Blue 1oz 72025090 09/2027Canary Yellow 1oz 72025270 07/2027Fire Red 1oz 72023060 06/2027Forest Green 1oz 070224 08/2026Green 1oz 72029090 09/2027Lavender 1oz 190124 07/2026Mint 1oz 141123 05/2026Skin 1oz 050224 08/202660 Greywash 4oz 82026280 08/26/202840 Greywash 4oz 72021260 06/21/202780 Greywash 4oz 72027260 06/27/202720 Greywash 4oz 72029160 06/19/2027Triple Black 8oz 82025080 08/05/2028Triple White 8oz 72025080 08/05/2027
- Dynamic Ink
  
  Triple Black 8oz, 72024011, 11/04/27Chinese Red 1oz, 72023201, 10/23/27Fire Red 1oz, 82024120, 02/14/28Hot Ping 1oz, 82020350, 05/30/38Bubble Gum 1oz, 82023060, 06/03/28Bright Orange 1oz, 82025110, 01/15/28Light Brown 1oz, 72023180, 08/13/27Lime Green 1oz, 72021170, 07/11/28Leaf Green 1oz 82020210, 01/20/28Teal 1oz, 82029210, 01/29/28Turquoise 1oz, 82027160, 06/17/28Sky Blue 1oz, 82024170, 07/14/28Electric Blue 1oz, 82027070, 07/07/28Tropical Purple 1oz, 82026050, 05/06/28Lavender 1oz, 82027050, 05/07/28Triple White 1oz, 82026001, 10/06/28No. 80 Greywash 4fl, 82021280, 08/21/2028No. 60 Greywash 4fl, 82026280, 08/26/2028No. 40 Greywash 4fl, 82023090, 09/03/2028No. 20 Greywash 4fl, 82028090, 09/08/2028No. 00 Mixing Solution 4fl, 82028090, 09/08/2028
- Solid Ink
  
  Lining Black 4oz, 01.06.25, 01/20/29Brown 1oz, 09.24.25, 09/2029Chocolate 1oz, 08.20.25, 08/2029Dulce de leche, 06.24.25, 06/2029
- Artist's Name:
- Needles used:
  With LOT Ex. Kwadron 1rl 0505, 3rl 0518
- Inks Used:

Tattoo Consent Form

Please hand to artist to fill out next portion