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Tattoo Release Form
Let us do this part
Today's Date:
Tue Dec 3 2024 11:21
Practitioner:
*
-- Select --
Nathan Menke
Danny
Other
Placement and Tattoo description:
*
Total price including deposit :
*
Not pregnant or nursing :
*
Allergies:
*
Please read and answer
Tattoo Aftercare - 1) Do NOT rebandage your tattoo. 2) Always wash your hands before touching your tattoo. Do not use a washcloth or anything abrasive on the tattoo. 3) Do not pick or scratch your tattoo. 4) Avoid soaking your tattoo in any water, especially Hot Tubs, Fresh Water, The Ocean or a bath. 5) Do not Waterlog your tattoo in the shower. 6) Avoid direct sunlight or tanning until the tattoo is fully healed. 7) Avoid tight fitting clothing that may rub or chafe your new tattoo. 8) After you have washed your tattoo pat dry lightly and air dry until no moisture is locked in your skin, then apply a VERY small amount of Unscented lotion or Ointment to your tattoo. 9) Absolutely DO NOT use Vasoline, A&D Ointment or Aquaphore on your fresh tattoo. Petroleum is bad for your body and healing process
If any provision, section, subsection, clause or phrase of this release is found to be unenforceable or invalid, that portion shall be severed from this contract. The remainder of this contract will then be construed as though the unenforceable portion had never been contained in this document.
Client Information
I hereby declare that I am of legal age (with valid proof of age) and am competent to sign this Agreement or, if not, that my parent or legal guardian shall sign on my behalf, and that my parent or legal guardian is in complete understanding and concurrence with this agreement.
Legal Name:
*
Chosen name:
Address:
Postcode:
Date of birth:
*
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If you are under
18
your parent/guardian will be required
Phone #:
*
Email:
*
Signature:
*
Sign above or type signature:
Parent/Legal Guardian
I, as custodial parent or legal guardian of the above minor under 18 years of age, hereby consent to the terms and conditions set forth in this release form and I attest that all documentation I have provided is true and accurate.
Guardian's Legal Name:
*
Relationship:
*
-select-
Natural guardian (birth parent)
Legal parent via marriage
Legal guardian via adoption
Other (provide proof)
Signature:
*
Emergency Contact
If something happens, your emergency contact might need to explain your medical history, allergies, or medications.
Name:
Phone #:
*
Photo ID
Please take photo(s) of your government issued photo IDs and related paperwork.
Remove Photo