TATTOO CONSENT FORM

Below is the Tattoo Consent form for Kingtide Ink. This form must be completed and submitted prior to getting your tattoo.

First Name

Last Name

Birthday

Phone

If I have diabetes, epilepsy, hepatitis, hemophilia, HIV-AIDS or any other communicable disease, heart condition or take medicine which thins the blood I have advised my tattooer. I am not pregnant or nursing. I am not under the influence of alcohol or drugs.

I do not have medical or skin conditions in the area to be tattooed that may interfere with said tattoo.

I acknowledge it is not reasonably possible for the artist of this tattoo shop to determine whether I might have an allergic reaction to the pigments or processes used in my tattoo, and I agree to accept the risk that such a reaction is possible.

I acknowledge that infection is always possible as a result of the obtaining of a tattoo, particularly in the event that I do not take proper care of my tattoo. I have received aftercare instructions and I agree to follow them while my tattoo is healing.

I acknowledge that a tattoo is a permanent change to my appearance and that no representations have been made to me as to the ability to later change or remove my tattoo. To my knowledge, I do not have a physical, mental or medical impairment or disability which might affect my well being as a direct or indirect result of my decision to have a tattoo.

I acknowledge I am over the age of eighteen and that I have truthfully represented to my tattoo artist that the obtaining of a tattoo is by my choice alone. I give my consent to be tattooed at Kingtide Ink and have approved the final design of my tattoo.

Your Signature

Date

You have successfully submitted the tattoo consent form for Kingtide Ink