Please review before your appointment.
Please review the consent form below before your appointment. You can print and fill it out in advance, or complete one at the studio. A signed consent form and valid ID are Full Name: ____________________________________________ Date of Birth: ________________ Age: ______ Phone Number: ________________________________________ Email Address: _______________________________________ Address: _____________________________________________ City: ________________ State: _____ ZIP: ___________ Description of Tattoo: __________________________________ Placement on Body: _____________________________________ Approximate Size: ______________________________________ Are you pregnant or nursing? ☐ Yes ☐ No Do you have any allergies (latex, ink, metals, adhesives)? ☐ Yes ☐ No If yes, please list: _____________________________________ Do you have any medical conditions that may affect healing? ☐ Yes ☐ No If yes, please list: _____________________________________ Are you currently taking any medications? ☐ Yes ☐ No If yes, please list: _____________________________________ I confirm that: Client Signature: _____________________________________ Date: ________________________________________________ Artist Signature: _____________________________________ Date: ________________________________________________Tattoo Consent & Release Form
Client Information
Tattoo Details
Medical Information
Acknowledgment & Consent
Signatures