Tattoo Client Consent Form
Personal Information
Full Name
Date of Birth
Phone Number
Email Address
Address
Emergency Contact
Name
Phone Number
Tattoo Details
Body Part to be Tattooed
Description/Design
Health Questionnaire
I confirm I am at least 18 years old.
I am pregnant or breastfeeding.
None of the above.
I have the following medical conditions:
I have allergies:
I am currently taking medications:
Consent
I acknowledge that I have been informed of the risks involved in getting a tattoo. I confirm the information provided above is accurate and complete. I agree to follow all aftercare instructions provided by the artist.
Client Signature
Date