Home Bodies Tattoo Shop
Crafting art on you
M: +123-456-7890 Email: [email protected]
123 Tattoo Ave, Art City, AC 12345
Tattoo Consent Agreement
Client Information:
Name: [Field 5]
Legal name if different: [Field 6]
Pronouns: [Field 7]
Email: [Field 8]
Phone Number: ([Field 10]) [Field 11]
Address: [Field 13], [Field 14], [Field 15], [Field 16]
Appointment Details:
Date of Appointment: [Field 12]
Procedure and Location: [Field 17]
Age at Time of Appointment: [Field 20]
Consent Statement:
I hereby acknowledge that I am voluntarily getting a tattoo from the artist [Field 4]. I confirm that I am 18 years of age or older, or I have provided written consent from a parent or guardian. I understand the nature of the tattoo procedure and any potential risks or complications. I confirm that I do not have any medical conditions that might complicate the tattoo process.
Health Information:
Access Needs or Allergies: [Field 18]
Photo Release:
[Field 26]
I understand that non-disclosure of medical conditions or failure to follow the recommended aftercare instructions can increase the risk of infection or other complications. Home Bodies Tattoo Shop and its employees are not responsible for any medical and/or psychological complications that may arise from the services provided. I release Home Bodies Tattoo Shop, the artist [Field 4], and all employees of any and all claims of injury, seen or unseen, that may arise from being tattooed.
Client Signature Date: [Submission Date]