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BODY ART CONSENT FORM

I acknowledge by signing this agreement that I have been given the full opportunity to ask any and all questions which I might have about the obtaining of a tattoo and that all of my questions have been answered to my full satisfaction. I specifically acknowledge I have been advised of the facts in matter set forth below, and I agree as follows. 

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Are you under the influence of drugs or alcohol?
No
Yes
Female Only: Are you pregnant or nursing?
No
Yes
Do you have a communicable disease?
No
Yes
Do you have any skin conditions
No
Yes
Skin conditions e.g. Rashes, eczema, infection, psoriasis, freckles, etc.)
Please tell us about your medical history ( e.g. Diabetes, Cardiovascular Disease, Epilepsy, Blood-related disease etc.)
I understand that this procedure is a permanent change to my skin and body.
Agree
I give permission for my tattoo to be photographed in use on the tattoo shop website and social media pages.
Agree
I acknowledge that the tattoo shop does not offer refund.
Agree
I agree that the studio does not have a way of identifying if I am allergic to the elements or ingredients that will be used for my tattoo.
Agree
I understand that I need to take care of the tattoo by following the instructions given to me by the tattoo shop.
Agree
I understand that I might get an infection if I don’t follow the instructions given to me in regards of taking good care of my tattoo.
Agree
I indemnify and hold, harmless the tattoo shop against any claims expenses, damages, and liabilities.
Agree
I confirmed that the information I provided in this document is accurate and true.
Agree
I fully understand the tattoo artist does not act as a medical professional. Any suggestions made to me are not to be construed, as or substituted for advice from a medical professional.
I understand
I am acknowledge that I am being tattooed by a tattoo apprentice. If applicable.
Agree
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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