Tiny Tattoos Consent Form

Tiny Tattoos Consent Form
Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Email Address*
example@example.com
I consent to photographs of my tattoo being taken for documentation and possible use on ArtistryMK’s website or social media.*

YesNo
Signature

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LIABILITY & RELEASE

I release ArtistryMK from any liability for:
• Infection or reaction resulting from my own aftercare negligence or undisclosed medical conditions
• Allergic reactions to pigments or products
• Pigment migration, fading, or variations in color due to skin type or healing
• Any loss, injury, or damage arising from my decision to receive a tattoo
I understand this release covers the initial tattoo and any related touch-ups performed at ArtistryMK.*

Clear
RISKS & ACKNOWLEDGEMENT

Tattooing involves puncturing the skin with needles to insert pigment. Possible risks include:

• Bleeding, bruising, or infection if aftercare is not followed
• Allergic reaction to ink or products
• Scarring or keloid formation
• Pigment migration or “blow-outs”
• Uneven color retention or fading over time
• Nerve irritation, tissue damage (rare)
• MRI interference or temporary skin reaction in tattooed areas
• Localized swelling or dizziness during the procedure
I have read and understand the risks of tattooing.*

Clear
AGE & LEGAL CONSENT - I confirm that I am at least 18 years old and legally able to consent to a tattoo in California.*

Yes
Signature*

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MEDICAL HISTORY