Tattoo Consent and Liability Form
Please provide your health information and allergies to ensure a safe tattooing process.
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
EMERGENCY CONTACT
*
First Name
Last Name
EMERGENCY CONTACT #
*
Please enter a valid phone number.
Format: (000) 000-0000.
Do you have any allergies? (e.g., latex, ink, adhesives, medications)
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No
Yes
If yes, please specify your allergies
Do you have any medical conditions? (e.g., diabetes, heart condition, skin disorders)
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No
Yes
If yes, please specify your medical conditions
Are you currently taking any medications?
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No
Yes
If yes, please list your medications
Tattoo Placement (area of the body)
*
TERMS AND CONDITIONS
Please read TERMS AND CONDITIONS and check each box.
RED INK ALLERGY ACKNOWLEDGMENTI understand that red tattoo pigment may carry a higher risk of allergic or adverse reactions. I acknowledge that reactions can occur immediately or at any time after the tattoo, even if I have previously used or been tattooed with red pigment without issue. By consenting to the use of red ink, I voluntarily accept this potential risk and release Enhance & Elevate and the artist from responsibility for allergic or adverse reactions that may occur despite reasonable care being taken during the procedure. I understand that a patch test, if performed, does not guarantee that a reaction will not occur.
*
I agree
By signing this consent form you also agree to follow ENHANCE & ELEVATE policies. (For polices: located on Enhance & Elevate website)
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I agree
Date
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-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
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Submit Consent
Submit Consent
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