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TATTOO WAVIER CONSENT & DISCOLSURE FORM

Client Information

Thank You for your interest in booking with InkySPA LLC. Please provide the following information to move forward with the booking process so that I can better assist your request. To ensure that your body art procedure heals properly, I ask that you disclose any of the following; Disclosure doesn't legally prevent you from having a body art procedure.

Date of birth
Month
Day
Year
Do you want Black & Gray or Color?
Black & Gray
Color
Is this a cover up tattoo? (*please upload pic below)
Size Preference (How big do you want the tattoo)?
Small (1"-4")
Medium (4"-7")
Large (7"-12" or larger)
How did you hear about me?

Please select a date you are available to come for tattoo appointment.

MEDICAL HISTORY

Please select any medical conditions that apply to you

INFORMED CONSENT TO RECIEVE SERVICES

I understand I am here to receive a Tattoo Service from Tattoo Artist Katisha Farrell at InkySPA LLC. I acknowledge the following by checking each box below:

by checking the boxes & signing above, I acknowledge the information I provided on this form is true & accurate to the best of my knowledge. I understand if I did not answer any questions truthfully, nor the technician or establishment is responsible for any negative outcome.

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