Tattoo Consent Form.Can’t wait to work with you! Please fill out form below for us to get started. Name * First Name Last Name Email * Phone (###) ### #### Message * Date of Birth * Must be 18 or older with government issued ID. MM DD YYYY Emergency Contact Information * Name and phone # Any medical conditions? Please list any below: (ex diabetes or any skin conditions) Any allergies? List any known- (ex. latex) Consent * I consent that I am not under the influence of drugs or alcohol. Consent I understand that getting a tattoo involves risks including infection, allergic reaction, or scarring. Consent * I understand that it is my responsiblity for aftercare of my tattoo to prevent complications. Consent * I certify that I am 18 years of age or older and the ID provided is true. Digitial Signature * Type in your full legal name (this serves as your digital signature of consent) Date of signing * MM DD YYYY Thank you!