Tattoo Consent Form

Tattoo Consent Form

Provide your contact details and review the tattooing risks before signing.
Full Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Photo ID

Cancelof
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
Name of operator carrying out your tattoo
Risks Associated with Tattooing

Please read the following carefully:
- Tattooing involves breaking the skin and may cause pain, bleeding, or discomfort.
- There is a risk of infection if aftercare instructions are not followed.
- Allergic reactions to ink or materials may occur.
- Scarring or keloids may develop.
- Results are permanent and removal is costly and may not be fully effective.
- Other risks may exist depending on your health or skin condition.
If you have any concerns, please discuss them with your artist before proceeding.
I declare that I give my full consent to the tattooing being carried out by the mentioned practitioner. I confirm that potential complications, e.g. infection and swelling, for the procedure indertaken, and aftercare instructions have been explained to me. A written aftercare advice shee containing more detailed information has been given to me and I agree that it is my responsibility to read this and follow the instructions on it, until the site has healed I confirm that the above information provided by me for this consent form is correct to the best of my knowledge, that I am over the age of consent for this procedure (i.e. 18 years old for tattoos) and that I am not currently under the influence of alcohol or drugs.
Signature (Consent)
Should be Empty: