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Tattoo Consent Form
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Consent Form
Section 1
*
Indicates required field
Name
*
First
Last
Email
*
Date Of Birth
*
Date of Appointment
*
Are you over 18 years old and do you have a physical photo ID for your appointment? (i.e Passport, driving licence, National Identity Card)
*
Yes
No
Confirm Section 1
Section 2
*
Indicates required field
Have you been under the influence of alcohol or recreational drugs in the last 24 hours?
*
Yes
No
Are you pregnant or breastfeeding?
*
Yes
No
Please list any known allergies:
*
Have you been diagnosed with any medical conditions? Certain medical conditions do not rule out getting a tattoo but your tattoo practitioner should be informed of them before your tattoo begins.
*
Do you use medications that thin the blood?
*
Yes
No
Confirm Section 2
Section 3
*
Indicates required field
Have you been diagnosed with haemophilia or any other condition that may affect blood clotting or cause blood thinning?
*
Yes
No
Do you have a physical, mental or medical issue that may have affected your judgement, or may affect your well-being as a result of having tattoo work at this time?
*
Yes
No
I recognise that while all materials used in the process of tattooing are sterile, tattoo procedures can result in infection, ink loss, allergic reaction and drying of the site. I understand that infection is often caused by poor or faulty aftercare and will duly follow the aftercare advice given by my tattoo practitioner
*
I agree
I understand that tattooing is an irreversible procedure and that while every effort is made to reproduce the work as described, the nature of tattooing can result in a margin of difference. I understand that I am relying on an artist’s rendering of my design and that an exact replica of a pre-drawn design cannot be guaranteed because of exterior factors including skin-type, client movement and allergies.
*
I agree
I understand that I am responsible for checking the image, placement, and orientation of my tattoo before my artist starts the tattooing process. Some tattoos may be in different languages or require specific details that your artist may not be aware of unless they are told.
*
I agree
Confirm Section 3
By submitting each section above and confirming my name,
I confirm that I have read and understood all aspects of each section.
By submitting each section above and confirming my name, I confirm that I have read and understood all aspects of each section.
*
Indicates required field
Name
*
First
Last
Submit
