Page 1 of 1

NBTS Tattoo Consent Waiver

Client Full Name

Date Of Birth

Phone Number

Email Address

Address

Artist Names

Tattoo Description

Placement on Body

Is this your first tattoo?

Is this your first tattoo?
A
B

Do you have any medical conditions we should know about?

acknowledgment checkboxes

acknowledgment checkboxes

Signature

Signature

Today's Date