F Segismundo Tattoo Consent Form

F Segismundo Tattoo Consent Form

@fksegismundo
Today’s Date*

MonthDayYear
Date
Legal Name*

First NameLast Name
Your Date of Birth*

MonthDayYear
Date
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Email*
example@example.com
State License / ID Number*
Your Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
ArmLegRibBackOther
Acknowledgement

I acknowledge by signing this consent form that I have been given the full opportunity to ask any questions that I might have about obtaining a tattoo and that all of my questions have been answered to my full satisfaction. The tattoo artist will use new needles for the tattoo and provide the appropriate care instructions once the tattoo is complete. I hereby release my tattoo artist, Frances Segismundo, from all liability, claims, actions and demands in law, or in equity, which I may have by obtaining this tattoo.

I also acknowledge I have truthfully and accurately answered all questions below:
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNoIf yes, please list
YesNoIf yes, please list
YesNo
YesNo
YesNoIf yes, please list
YesNo
YesNoIf yes, please list
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
If no, please remind your tattoo artist not to take pictures of your and your completed tattoo.
By signing this form, I reaffirm the answered provided above
Date*

MonthDayYear
Date
Type Your Full Name*
Client Signature*

Clear
Please pass your phone to the artist to sign and check your ID
Photo of ID card*

Cancelof
Tattoo Artist Signature*

Clear
Thank you for your business!
Should be Empty: