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JAJAH TATTOOS PATTAYA
Tattoo Consent Form
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Phone Number
*
-
Country Code
Phone Number
Email
*
example@example.com
Emergency Contact
*
Phone Number
*
-
Country Code
Phone Number
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Medical Questionairre
Please complete to the best of your ability
Please let us know if you currently have or have had any medical conditions that our Artists should be aware of.
*
Diabetes
Heart Conditions
Blood Disorders
Skin Consitions
Allergies
Pregnant/Breastfeeding
Steroid Medication
HIV/AIDS
None of the Above
Other
Please explain any medical conditions, allergies, or medications
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Tattoo Details
Artist Name
Please Select
Jah
Buddy
Other
Placement on Body
Tattoo Description
Appointment Date
-
Month
-
Day
Year
Date
Agreed Price
Deposit Paid
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Tattoo Consent
Please indicate your understanding by checking the boxes below:
*
I confirm that I am 18 years of age or older.
I have provided accurate and truthful information on this form.
I am not under the influence of alcohol or drugs.
I understand that tattooing is a permanent change to my appearance.
I understand that no guarantee has been made regarding the final appearance, color retention, or longevity of my tattoo.
I understand that there are inherent risks associated with tattooing, including but not limited to infection, allergic reactions, scarring, and discomfort.
I have had the opportunity to ask questions and all of my questions have been answered to my satisfaction.
I have reviewed and approved the tattoo design, spelling, size, color choices, and placement before the tattoo procedure begins.
I understand that healing results vary from person to person and may require touch-ups.
I agree to follow all aftercare instructions provided by Jajah Tattoos Pattaya.
I release and hold harmless Jajah Tattoos Pattaya, its artists, employees, and representatives from liability arising from my decision to receive a tattoo, except where prohibited by law.
I voluntarily consent to receive a tattoo from Jajah Tattoos Pattaya.
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Photo Release
*
Yes, I authorize Jajah Tattoos Pattaya to photograph and use images of my tattoo for portfolio, website, advertising, and social media purposes.
No, I do not authorize the use of photographs of my tattoo for marketing purposes.
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Studio Notes
(For Staff Use Only)
Submit
Should be Empty: