Parent/ Guardian Name: First Name* Last Name* Date: Date* Address: Street Address* Address Line 2* City* State* Zip* Phone: Area Code* Phone Number*
I parent name* , hereby swear under the penalty of PERJURY that the following information stated in this document are true.
I parent name* give my consent and permission for my child, minor name *, to obtain a tattoo from Carly’s Gnarly Tattoos. In doing so I accept full legal and moral responsibility for said TATTOO and assume all liability associated with the same.By signing this consent, I confirm that I have read and understand all information on the medical disclosure, release liability form, and the completed care instructions. I agree to supervise the aftercare procedures to insure proper healing of said TattOO.