Tattoo Waiver Form

Name

Date of birth (DD-MM-YYYY)

Your Email

Your Phone

Emergency contact name

Emergency contact Phone number

2. Health & Medical History

Are you under the influence of drugs or alcohol today?

Yes

No

Are you pregnant or breastfeeding?

Yes

No

Do you have any allergies (e.g., to latex, metals, ink, lidocaine, soaps, etc.)?

No

Yes

Do you have any medical conditions (e.g., diabetes, epilepsy, heart issues, hemophilia)?

No

Yes

Are you currently taking any medications (especially blood thinners, antibiotics, or steroids)?

No

Yes

Do you have any skin conditions or infections (e.g., psoriasis, eczema, open wounds)?

No

Yes

3. Consent & Understanding

I understand that receiving a tattoo involves piercing the skin with needles and may cause pain, bleeding, swelling, or allergic reactions.

I understand that tattoos are permanent and can only be removed by procedures that may cause scarring, discoloration, or discomfort.

I understand that tattoo results vary depending on my skin type, placement, ink color, healing process, and aftercare.

I have received and read the aftercare instructions and agree to follow them exactly as advised by the artist.

Do you acknowledge that this tattoo is being done at your own risk, and you are responsible for proper aftercare to prevent complications?

Put your initials to sign