• Tattoo Consent Form for Connecticut Residents

    Please read the following consent form carefully, sign at the end, and attach a valid photo ID.
  • Client Information

    Please fill out all of the information below
  • Medical History

    For your safety, please answer honestly
  • Consent and acknowledgment

  • By signing below, I acknowledge and agree that:

     
    1. I am at least 18 years of age and have provided valid proof of ID.


    2. I am not under the influence of drugs or alcohol.


    3. I do not have any condition that may interfere with healing or increase risk.

    4. I have disclosed all relevant medical conditions to my artist.


    5. I understand that receiving a tattoo carries risks, including but not limited to:

    Infection
    Allergic reaction
    Scarring or keloid formation
    Fading or spreading of ink
    Discomfort or pain

    6. I consent to the application of the tattoo and any actions or conduct of the representatives and employees of the tattoo shop reasonably necessary to preform the tattoo procedures.

    7. I release my tattoo artist and Root + Ritual from any responsibility for complications that may arise from my procedure.


    8. I understand the tattoo is permanent and that no guarantees are made regarding the final appearance.


    9. I have received and agree to follow the written aftercare instructions provided.


    10. I consent to the application of the tattoo and to have my information securely stored as required by Connecticut law

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