Tattoo Consent Form

Tattoo Consent Form

TABERNACLE TATTOO CO. 723 N COWAN AVE LEWISVILLE, TEXAS 75057
Name**

First NameLast Name
Driver’s License or ID Number*
Age*
Birth Date*

MonthDayYear
Date
Phone Number*
Format: (000) 000-0000.
Email*
example@example.com
Time*

Hour Minutes

AM/PM Option
Upload a clear photo of your valid/ up to date ID or Driver’s license. Make sure the entire ID is visible.*

Cancelof
Ink Type*
Ink lot number*
Color used*
Artist you are getting tattooed by*
Acknowledgment and Waiver
Agree
AgreeOther
Agree
Agree
Agree
Agree
Agree
Aftercare Instrusctions (your artist will go over this with you)

1. Keep bandage on over night. 2. After removing bandage, wash tattoo with anti-bacterial soap and hot water. 3. Wash your tattoo 3 to 5 times a day for the first week. 4. After the second day of wading, you can start to apply a thin layer on non scented lotion.

Make sure to keep your tattoo moisturized daily for the first month. Avaoid the sun and pools for the first 2 weeks.
Agree
Agree
I understand that with the application of a tattoo, there is a possibility of discomfort or pain, and risk of infection. The markings of a tattoo are PERMANENT. In some cases, the possibility of an allergic reaction to the pigment or other materials used, may occur. If so, contact Tabernacle Tattoo Co. the client shall consult with a healthcare practitioner at the first sign of infection or allergic reaction resulting from the tattoo to the artist and to the Texas department of state health services, drug and medical devices group at 1-888-839-6676.*

Agree
I have read, understand, and agree with all of the above terms and conditions. Aftercare instructions have been given to me by Tabernacle Tattoo Co.*
Signed Date*

MonthDayYear
Date
Should be Empty:

Tattoo Consent Form

Acknowledgment and Waiver