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consent form

I hereby declare that I give Concrete01 Ltd full consent to tattoo me and the information below is true to my knowledge.

Who is your artist

Does any of the below apply to you?

Does any of the below apply to you?

Full name

Preferred pronouns

Full address of residency

Email address

Phone number

Date of birth

Form of ID

Photo of your ID

Location and brief description of the tattoo

Do you consent to the taking of photographs and / or videos during the procedure and are happy for them to be shared by concrete.01 for promotional purposed?

Do you consent to the taking of photographs and / or videos during the procedure and are happy for them to be shared by concrete.01 for promotional purposed?
Would you like to receive emails about our next guests, earn discounts on your next tattoos etc…
Untitled checkboxes field

Please sign here

Signature
I understand that no form of anaesthetic will be used during this procedure. I understand that every care will be taken to ensure the tattoo procedure is performed in a hygienic manner including the use of sterile, single use needles. I understand that a new tattoo is susceptible to infection until fully healed and that care of the tattoo once I leave the studio is under my own responsibility. I will follow aftercare explained to me. Associated risks include: septicaemia, scarring, allergic reactions and localised swelling/trauma.
I AM NOT UNDER THE INFLUENCE OF ALCOHOL OR DRUGS. I HAVE REQUESTED THE TATTOO ON MY OWN FREE WILL AND I AM HAPPY TO PROCEED WITH THE TATTOO.