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Tattoo Appointment Consent Form

The document is a tattoo consent form from Art Ink Tattoo Studio, requiring clients to acknowledge their understanding of the risks and responsibilities associated with obtaining a tattoo. Clients must confirm they are not pregnant, under the influence, or suffering from any medical conditions that could affect the tattoo process. By signing, clients accept the permanent nature of tattoos and agree to follow aftercare instructions to avoid complications.

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nozox
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62 views1 page

Tattoo Appointment Consent Form

The document is a tattoo consent form from Art Ink Tattoo Studio, requiring clients to acknowledge their understanding of the risks and responsibilities associated with obtaining a tattoo. Clients must confirm they are not pregnant, under the influence, or suffering from any medical conditions that could affect the tattoo process. By signing, clients accept the permanent nature of tattoos and agree to follow aftercare instructions to avoid complications.

Uploaded by

nozox
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Art Ink Tattoo Studio

167 W 48th St New York, NY 10036


www.artinktattoostudio.com

TATTOO CONSENT FORM


Tel. 917-2615017

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 obtaining a tattoo,
and all my questions have been answered to my full
satisfaction. I specifically acknowledge I have been
advised of the facts and matters set for below and I
agree as follows:

- I am not pregnant or nursing. I am not under the


influence of alcohol or drugs. - I do not suffer
from any medical or skin conditions as but not
limited to : acne, scarring, keloid or hypertrophic
scarring, psoriasis, eczema, or any other open
wounds or lesions at the site of the tattoo. If I
have any type of infection or rash, I will advise
my artist immediately.
-I have advised the tattoo artist of any allergies to
metals, latex, soaps and/ or medications. - I
acknowledge it is not reasonable nor possible for
the representatives or employees of Art Ink
Tattoo Studio to determine if I might have an
allergic reaction to the pigments or processes
involved in the tattoo and further acknowledge
that such a reaction is possible, and finally agree
to accept the risk.
- I acknowledge that I DO NOT have any
physical, mental, medical impairment or
disabilities which might affect my well being,
directly or indirectly in my decision to have a
tattoo procedure performed.
-I acknowledge that obtaining this tattoo is my
choice alone and will result in a permanent
change to my appearance, and no representation
has been made to me, as to the ability to later
restore the skin involved to its pre-tattooed
condition.
- I acknowledge that variations in color and
design may exist between any tattoo, as selected
by me, and ultimately applied to my body. I
understand that if my skin color is dark, the
colors will not appear as bright as they do on
lighter skin.
-I acknowledge that if I have any skin treatments,
laser removal, plastic surgery or subject myself
to UV light through tanning beds or booths, it
may result in adverse changes of my tattoo.
-I acknowledge that infection is always possible
as result of obtaining a tattoo, particularly in the
event that I do not take proper care of the tattoo.I
will receive aftercare instructions from my artist
by person and by email, and agree to follow
them. I agree that any touch up work that is
needed, due to my negligence, will be done at
my own expenses.
- I am 18 years of age or over, and I have
truthfully represented to my tattoo artist that
obtaining a tattoo, is my choice alone. I consent
to the application of the tattoo and to any actions
or conduct of the representatives and employers
of Art Ink Tattoo Studio as reasonably or
necessary to perform the tattoo procedure.

Client name and last name *

First Name

Last Name

Date of birth *

mm-dd-yyyy

Date

Email *

example@example.com

Phone Number *

Area Code Phone Number

ID/ state ID/license/ passport number *

Street address

City

State / Province

Postal / Zip Code

Client Signature

Clear

Date Signed *

mm-dd-yyyy

Date

Submit

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