Tattoo Consent Form

Tattoo Consent Form

Please fill out all sections carefully before your tattoo procedure.
Client Personal Information
Full Name

First NameLast Name
Preferred Pronoun(s)
He/they/she/etc
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Tattoo Design and Placement
Please provide a detailed description of the tattoo design
if rolling for a random tattoo, specify sheet/type of game
Acknowledgment of Risks and Potential Side Effects
I acknowledge that I have been informed about the risks and potential side effects of getting a tattoo, including allergic reactions, infections, and scarring.
Health Questionnaire
Do you have any medical conditions or allergies? Please describe
Consent to Procedure
In consideration of receiving a tattoo from:
Choose your tattoo artist from the Dropdown Menu
I consent to the tattoo procedure and understand the nature of the process.
Waiver
I release the tattoo artist and studio from any liability related to the tattoo procedure.
If any provision, section, subsection, clause or phrase of this release is found to be unenforceable or invalid, that portion shall be severed from this contract. The remainder of this contract will then be construed as though the unenforceable portion had never been contained in this document.
Client Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Photo ID

If below the age of 18, please use legal guardian identification for this portion
Please Take a photo of the FRONT of your Government Issued Photo ID
Please Take a photo of the BACK of your Government Issued Photo ID
UNDER 18 Photo ID (Please DISREGARD if you are 18 years or older)

If below the age of 18, please add a photo of identification with family name matching legal guardian, or file of proof of guardianship
ID Photo
File Upload

Cancelof
Should be Empty:

Tattoo Consent Form

Client Personal Information

Tattoo Design and Placement

Acknowledgment of Risks and Potential Side Effects

Health Questionnaire

Consent to Procedure

Waiver

Photo ID

UNDER 18 Photo ID (Please DISREGARD if you are 18 years or older)