Consent Form

DISCLAIMER: All tattoo recipients must have a Government-issued ID upon appointment arrival or walk-in.

Everyone In the shop must be over the age of 18 or have a legal guardian with them at all times.

Birthday

Pre Procedure Questionair

Form of ID presented

Click to upload file or drag-and-drop. Max 25mb

Are you under the influence of drugs or alcohol?

Are you under the influence of drugs or alcohol?

FEMALE ONLY: Are you Pregnant or nurcing?

FEMALE ONLY: Are you Pregnant or nurcing?

Do you have a communicable disease?

Do you have any skin condition?

Skin Condition

Please tell me about your medical history

Acknoledgment

Acknoledgment

I understand this procedure is permanent to my skin and body.

I understand this procedure is permanent to my skin and body.

I allow my tattoo to be photographed and be used for tattoo shop portfolio showcased.

I allow my tattoo to be photographed and be used for tattoo shop portfolio showcased.

I acknowledge that the tattoo shop does not offer refunds,

I acknowledge that the tattoo shop does not offer refunds,

I agree that the studio does not have a way of identifying if I am allergic to the elements or Ingredients that will used for my tattoo.

I agree that the studio does not have a way of identifying if I am allergic to the elements or Ingredients that will used for my tattoo.

I understand that I might get an infection if I don’t follow the instructions given to me in regards of taking good care of my tattoo.

I understand that I might get an infection if I don’t follow the instructions given to me in regards of taking good care of my tattoo.

I identify and hold harmless the tattoo hop against anything claims, expenses, damages, and liabilities.

I identify and hold harmless the tattoo hop against anything claims, expenses, damages, and liabilities.

I confirm the information in this document is accurate and true.

I confirm the information in this document is accurate and true.

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©2023. HIGH ROLLERS ART STUDIO - Powered by LA CONEXCION

©2023. HIGH ROLLERS ART STUDIO - Powered by LA CONEXCION

©2023. HIGH ROLLERS ART STUDIO - Powered by LA CONEXCION