Tattoo Waiver and Release Form

Tattoo Waiver and Release Form

Illustrated Narrative Tattoo Studio
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Age*
Phone Number*

Area CodePhone Number
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact:*

First NameLast Name
Emergency Contact Phone Number*

Area CodePhone Number
I understand this statement.
Medical History
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
Keloid scarringEczemaPsoriasisLesionsMolesNot Applicable
If you have answered YES to any of the previous medical questions, please inform your artist. *
Tattoo Consent, Waiver and Release
I agree
I agree
I agree
Being of sound mind and body, I hereby release any and all employees, agents or persons representing Illustrated Narrative from all responsibility. I agree not to sue Illustrated Narrative or its heirs or assigns in connection with any and all damages, claims, demands, rights and causes of action of whatever kind or nature based upon injuries or property damages to, or death of myself, or any other persons arising from my decisions to have any tattoo related work at this time, whether or not caused by any negligence of Illustrated Narrative.*

I agree
I agree
I agree
I agree
I hereby grant irrevocable consent to and authorize the use of any reproduction by Illustrated Narrative, any and all photographs which are taken this day of me, negative or positive proof, which will hereby be attached for any purposes whatsoever, without compensation to me. All negatives, together with prints, video, or live internet stream shall become and remain the property of Illustrated Narrative, solely and completely.*

I agree
I agree
I agree
Referral or repeat clientInstagramFacebookGoogleDrive-by
Customer Signature*
Please upload a photo of your Driver's License*

Browse Files

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This Section To Be Completed By Tattoo Artist

Please inform the artist you are ready for their review and signature.
Full Name of Tattoo Artist: type here*
Description and Location of the tattoo: type here*
Date of Tattoo*

MonthDayYear
Date
Tattoo Artist*

First NameLast Name
Location of the Tattoo*
Arm, Back, Leg, etc.
Brief Description of Tattoo*
Signature of Tattoo Artist*
Should be Empty:

Tattoo Waiver and Release Form

This Section To Be Completed By Tattoo Artist