Tattoo Consent Form

Tattoo Consent Form

Please complete this form to provide your consent and confirm your eligibility for tattoo services.
Today's Date*

MonthDayYear
Date
Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Tattoo Placement / Body Area*
Brief Description of Design*
YesNo
YesNo
YesNo
If yes, please list your allergies:
YesNo
If yes, please specify:
Risks & acknowledgments
I understand that getting a tattoo involves risks, including but not limited to: pain, bleeding, swelling, infection, allergic reactions to ink or materials, scarring, and possible dissatisfaction with the final result. I understand that healing results vary from person to person and that my artist cannot guarantee how my tattoo will heal or how long it will last. I agree that I have been given the opportunity to ask questions about the procedure and the risks involved.
I agree and consent
Aftercare Acknowledgment
I understand that proper aftercare is essential for healing. I agree to follow the aftercare instructions provided by my artist and understand that failure to do so may affect the outcome of my tattoo.
I agree and consent
Signature & Final Confirmation
Signature (Please sign below)*
I agree and consent
Photo of Government-Issued ID*

Please take or upload a clear photo of your valid government-issued photo ID (driver’s license, passport, etc.).
Cancelof
Should be Empty:

Tattoo Consent Form

Risks & acknowledgments

Aftercare Acknowledgment

Signature & Final Confirmation