Ink Imaginarium Tattoo Consent Form

Tattoo Consent Form

Ink Imaginarium 26 Herlington PE2 5PN
Client Information
Full Name*

First NameLast Name
Preferred Pronouns
He/Him, She/Her, They/Them etc.
Age*
Birth Date*

DayMonthYear
Email*
example@example.com
Phone Number*
Address*

House Number/Name

Street Name

CityPost code

County
Date of Appointment*

DayMonthYear
Name of Tattoo Artist*

HayleyDorotaIniAni (Apprentice)Becki
How many tattoos are you having during this appointment?*

1234
Body Part 1 to be tattooed*
Body Part 2 to be tattooed*
Body Part 3 to be tattooed*
Body Part 4 to be tattooed*
Hand, foot and finger tattoos

Tattoos in this area are notoriously difficult to heal. Please select the next option to confirm that you have spoken to the artist around the risks involved with the tattoos in these areas and that you accept that touch ups will be charged at the standard rate.
Yes, I accept that touch ups will be charged at the standard rate.
What it means to be tattooed by an apprentice

Being an apprentice means being a trainee. Our apprentice is licensed and insured but they are still learning more advanced tattoo techniques. This means that you may be more likely to need touch ups after your tattoo has healed. We expect the apprentice to do the touch ups as this is a vital part of their learning experience. Our apprentice is ultimately the responsibility of Hayley Evans and in the unlikely event that the apprentice is unable to complete your touch ups, Hayley will complete these free of charge.
I understand that I am being tattooed by an apprentice and accept that I may need to return for touch ups..
Pre-Procedure Questionnaire
I confirm I will not be under the influence of drugs or alcohol at the time of my tattoo*

Yes
Are you pregnant or breast feeding?*

YesNo
Are you prone to fainting?*

YesNo
Have you consumed any anticoagulants in the last 24 hours? (e.g. blood thinners, large volumes of alcohol, aspirin)*

YesNo
Skin conditions (e.g. Rashes, eczema, infection, psoriasis etc.) If none, please type n/a*
If yes, please identify the condition and give details of any medication you are taking.
Medical History (e.g. Diabetes, Cardiovascular Disease, Epilepsy, Blood-related disease etc) If none, please type n/a*
If yes, please identify the condition and give details of any medication you are taking.
Acknowledgment and Waiver
I understand that this procedure is a permanent change to my skin and body.
I understand that there are known risks associated with tattooing as follows: scarring, blood poisoning (septicaemia), allergic reaction to pigment, localised swelling. Details of these risks can be found here https://www.healthline.com/health/beauty-skin-care-tattoos-piercings
I agree that the tattoo artists do not have a way of identifying if I am allergic to the elements or ingredients that will be used for my tattoo.
I understand that I need to take care of the tattoo by following the instructions given to me by Ink Imaginarium at https://inkimaginarium.co.uk/tattoo-care/
I understand that I might get an infection if I don't follow the aftercare instructions given to me and that it is my responsibility to do so.
I acknowledge that I have seen the tattoo design I will be having, that I am consenting to proceeding with this design and that Ink Imaginarium does not offer refunds.
I hold harmless Ink Imaginarium against any claims, losses, expenses, damages, and liabilities.
I allow my tattoo to be photographed and be used for the artists portfolio and on social media.
I confirm that the information I provided in this document is accurate and true.
I consent to my email address being used for marketing purposes, for example special offers, business updates and events etc. This information will not be sold to third parties and will only be used by Ink Imaginarium.

YesNo
Signed date*

DayMonthYear
Client Signature*

Clear
Should be Empty:

Tattoo Consent Form

Client Information

Hand, foot and finger tattoos

What it means to be tattooed by an apprentice

Pre-Procedure Questionnaire

Acknowledgment and Waiver