Tattoo Consent Form

Please read the following and agree *
By filling out this consent form I acknowledge that I have been given the full opportunity to ask any questions I may have about obtaining a tattoo at One Drop BLK Art & Tattooing. I confirm that I am willing to undergo the tattoo procedure. I acknowledge that all my questions have been answered to my full and total satisfaction. I acknowledge that I am 18 years or older. I acknowledge that obtaining a tattoo is my sole choice and mine alone. I acknowledge that the information given below is true and correct to the best of my knowledge. I acknowledge that is it not the responsibility of the studio or the artist to determine whether I might have an allergic reaction to the dyes, pigments or any other products used in the tattoo procedure and any allergies I do have will be reported to the artist and that such risks are possible. I acknowledge that I have been written and verbal instructions on how to properly look after my new tattoo and that it is solely my responsibility that my tattoo stays clean and properly cared for. I agree that my details are to be kept for 3 years for inspection from the local health authority if called for.
Name *
Name
Phone
Phone
Address
Address
Have you consumed any alcohol or drugs in the last 24 hours? *
Do you have conditions that affect the skin? *
Eczema, Psoriasis, Acne or Impetigo for example
Are you currently pregnant or breastfeeding? *
Do you have any conditions that may affect your blood? *
Do you suffer from any conditions that can affect your immune system? *
Do you suffer from Epilepsy, Fainting, or Dizzy Spells? *
I have looked over my design, checked any spelling (if applicable) and give my full consent to the application of my tattoo. *
By typing my name in I agree that this is acting as my digital signature.