Tattoo and Piercing Consent Form

Let us do this part


Health Questions

Tick Yes if you have: a fever, flu-like symptoms and/or shortness of breath. Please notify a staff member immeditately.

Have you eaten in the past 4 hours? We reccomend eating prior to your tattoo / piercing and bringing a sugary drink in the case of low blood sugar levels.


If you have marked ‘Yes’ Please let us know more information in the Notes box at the bottom of this page.

If you have marked ‘Yes’ Please let us know more information in the Notes box at the bottom of this page.

If you have marked ‘Yes’ Please let us know more information in the Notes box at the bottom of this page.

If you have marked ‘Yes’ Please let us know more information in the Notes box at the bottom of this page.

If you have marked ‘Yes’ Please let us know more information in the Notes box at the bottom of this page.

I am not under the influence of alcohol or drugs, and I am voluntarily submitting to be tattooed by the Artist without duress or coercion. I accept if at any point, if my artist feels I am that the procedure will be stopped immediately.

If you have marked ‘Yes’ Please let us know more information in the Notes box at the bottom of this page.

If you have marked ‘Yes’ Please let us know more information in the Notes box at the bottom of this page.

If you have marked ‘Yes’ Please let us know more information in the Notes box at the bottom of this page.

If you have marked ‘Yes’ Please let us know more information in the Notes box at the bottom of this page.

If any provision, section, subsection, clause or phrase of this release is found to be unenforceable or invalid, that portion shall be severed from this contract. The remainder of this contract will then be construed as though the unenforceable portion had never been contained in this document.

Consent




My Information

I hereby declare that I am of legal age (with valid proof of age) and am competent to sign this Agreement or, if not, that my parent or legal guardian shall sign on my behalf, and that my parent or legal guardian is in complete understanding and concurrence with this agreement.
Please enter parent age

Emergency Contact

If something happens, your emergency contact might need to explain your medical history, allergies, or medications.

Photo Identification

Drop your file here or click here to upload You can upload up to 1 files.
Please submit a copy of your goverment issued ID. This can be a passport or driving license

Use this box to submit any additional information