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Erica Tats • Tattoo Consent Form
Hello!
Please take your time to fill this out carefully, if you have any questions please ask! Let me know when you’ve completed the form. Thanks :) - Erica Tats
Name (First and Last)
*
Date of birth
*
Phone Number
*
Email
*
Address
*
Are you under the influence of drugs or alcohol?
*
A
Yes
B
No
Are you pregnant or nursing?
*
A
Yes
B
No
Do you have any communicable diseases?
*
A
Yes
B
No
Do you have any skin conditions?
*
A
Yes
B
No
Skin conditions (e.g. Rashes, eczema, infection, psoriasis, freckles, etc.)
Allergies or medical conditions (e.g. Diabetes, Cardiovascular Disease, Epilepsy, Blood-related disease etc.)
Acknowledgment and Waiver
I understand that this procedure is a permanent change to my skin and body.
*
Yes
I allow my tattoo to be photographed and be used for Tattoo Shop portfolio showcased.
*
Yes
I acknowledge that the Tattoo Shop does not offer refund.
*
Yes
l agree that the studio does not have a way of identifying if l am allergic to the elements or ingredients that will be used for my tattoo.
*
Yes
I understand that I need to take care of the tattoo by following the instructions given to me by the Tattoo Shop.
*
Yes
I indemnify and hold harmless the Tattoo Shop against any claims, expenses, damages, and liabilities.
*
Yes
I confirm that the information I provided in this document is accurate and true.
*
Yes
Today’s Date
*
Your Signature
*
Signature
Submit