Tattoo Consent Form

Tattoo Consent Form

Please complete this consent form before your tattoo appointment. It collects identity, medical safety, appointment details, and required legal acknowledgments. You will also be asked to submit a copy of a government issued photo ID.
Client Identity & Contact
Full Legal Name

First NameLast Name
Preferred Name (if different from above)
Preferred Pronouns
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Government ID Type
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
***PLEASE CAPTURE THE ENTIRETY OF THE FRONT OF YOUR ID WITHOUT CUTTING OFF ANY EDGES!!! Improper ID photos will require resubmission of this entire form.
Add Government ID Photo
Emergency & Medical Information
Emergency Contact Name

First NameLast Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Medical conditions you would like us to be aware of

Other
Any other allergies, conditions, or current medications?
Tattoo Appointment Details
Area to be tattooed
Design description
Artist name
Date of appointment

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Consent, Waivers & Acknowledgments
Liability Waiver Acknowledgment

I acknowledge and agree to hold Arcana LLC harmless from any liability claims and agree to pay the resulting legal fees should I bring prosecution against the company for any reason. I WAIVE AND RELEASE to the fullest extent permitted by law any person of Arcana LLC from all liability whatsoever, including but not limited to, any and all claims or causes of action that I, my estate, heirs, executors or assigns may have for personal injury or otherwise, including any direct and/or consequential damages, which result or arise from the procedure and application of my tattoo, whether caused by the negligence or fault of either Arcana LLC, or otherwise.
Health Risk Disclosure Acknowledgment
Aftercare Instructions Acknowledgment
Pregnancy and breastfeeding Acknowledgment
Non Impairment Acknowledgement
Permanent Bodily Alteration Acknowledgement

A tattoo is a permanent change to my appearance and can only be removed by laser or surgical means, which can be disfiguring and/or costly and which in all likelihood will not result in the restoration of my skin to its exact appearance before being tattooed. Variations in color and design may exist between the tattoo art I have selected and the actual tattoo when it is applied to my body. I also understand that over time, the colors and the clarity of my tattoo will fade due to unprotected exposure to the sun and the naturally occurring dispersion of pigment under the skin.
Accuracy Accountability Acknowledgement
No Refund Policy
Photo and Video Consent

I do not consent to photos and videos being taken or used
Age Confirmation
**PLEASE ASK YOUR ARTIST ABOUT THE PRICE OF YOUR TATTOO BEFORE BEGINNING THE PROCEDURE - it is your responsibility to confirm the price of the tattoo, and we assume no responsibility for any misunderstanding in this regard.
Terms Confirmation
How did you hear about us?
Client Signature
Signature Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Tattoo Consent Form

Client Identity & Contact

Emergency & Medical Information

Tattoo Appointment Details

Consent, Waivers & Acknowledgments