Tattoo Consent Form

Tattoo Consent Form

Release of Liability and Waiver to All Claims
Client Information

Please fill out the information below to the best of your knowledge
Full Name*

First NameLast Name
Age*
Date of Birth*

MonthDayYear
Date
Phone Number*

Area CodePhone Number
Email*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
MeSomeone ElseOther
Tattoo Description*
Please describe your tattoo in detail. Size, placement, color, ect.
Body Location of Tattoo*
Appointment Date and Time*
Date and time you, and your artist have agreed upon.
Darcell
Health Questionnaire

Please select all that apply to you or client.
AntibioticsMetalsSoapsLatexAlcoholCosmeticsAdhesivesPetroleumLanolin OilLidocaineShellfishNoneOther
HepatitisTuberculosisGonorrheaSyphilisHIV/AIDSHerpesStaphAuto-Immune DisorderAsthmaCOVID-19InfectionsNoneOther
Heart DiseaseHigh Blood PressureDiabetesCurrently Pregnant or BreastfeedingProne to FaintnessSkin Disease/RashEpilepsyHemophiliaProne to Scarring/KeloidsPsoriasisBlood ThinnersEczemaNoneOther
Emergency Contact Name
(Optional)
Emergency Contact Phone Number
(Optional)
Are you currently on any medication? Please list:
(Optional, but encouraged)
Do you have other tattoos?
If so how many?
Acknowledgment and Waiver

By completing and signing this form, I acknowledge that I have been given the full opportunity to ask any and all questions which I might have about obtaining a tattoo from BUNNIINK!!, and that all of 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, and I agree as follows:
I agree
I agree
I acknowledge that I have advised my tattoo artist of any condition that might affect the healing of this tattoo. I do not have medical or skin conditions such as but not limited to: acne, scarring (keloid), aczema, psoriasis, freckles, moles, or sunburn in the area to be tattooed that may interfere with said tattoo. If I have any type of infection or rash anywhere on my body, I will advise my tattooer.*

I agree
I agree
I agree
I agree
I agree
I agree
I agree
I agree
I agree
I agree
I agree
I agree
I agree
I agree
I agree
Signed Date*

MonthDayYear
Date
Client Signature*

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Photo ID*

Browse Files
Please upload a photo of your State issued Identification card. Cancelof
If you have any questions, feel free to call, text, or email us at dclinton2023@gmail.com or get ahold of us on Instagram.

Thanks, Inkbunnii
Should be Empty:

Tattoo Consent Form

Client Information

Health Questionnaire

Acknowledgment and Waiver