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Tattoo Release - Holle
Let us do this part
Today's Date:
Wed Oct 7 2026 11:56
Practitioner:
*
-- Select --
Holle
Tattoo Location:
*
Please read and answer
Tattoo Pigments
*
Fantasia Purple Con #4395
Fantasia Teal #4392
Fantasia Midnight Blue #4443
Fantasia Dark Purple #4429
Fantasia Pink #4766
Fantasia Dark Magenta #4430
Fantasia Magenta #4350
Fantasia Powder Blue #4410
Fantasia Navy Blue #4435
Fantasia Seafoam Green #4459
Fantasia Indigo #4438
Fantasia White #4799
Fantasia Gray #4732
Fantasia Iris #4427
Fantasia Fleshtone #4441
Fantasia Dark Brown #4400
Fantasia Parchment White #4351
Fantasia Turquoise #4798
Fantasia Lite Purple #4404
Fantasia Medium Blue #4790
Fantasia Lite Red #4719
Fantasia Dark Red #4475
Fantasia Deep Red #4717
Fantasia Lite Yellow #4803
Fantasia Burgundy Red #4391
Fantasia Maroon #4388
Fantasia Brown #4791
Fantasia Orange #4674
Fantasia Candy Apple Red #4477
Fantasia Ochre yellow #4473
Fantasia Dark Blue #4725
Fantasia Dark Yellow #4479
Fantasia Bright Orange #4753
Fantasia Tangerine #4692
Fantasia Hot Pink #4785
Fantasia Plum #4389
Fantasia Bubble Gum Pink #4465
Fantasia Carnation Pink #4364
Fantasia Lite Green #4412
Fantasia Lime Green #4318
Fantasia Army Green #4437
Fantasia Emerald Green #4436
Fantasia Dark Green #4722
Fantasia Red Orchid #5
Fantasia Medium Green #4723
Fantasia Lite Blue #4762
Dynamic Black #72027140
Dynamic White #72023150
General Release
*
I acknowledge by signing this release that I have been given the full opportunity to ask any and all questions I might have about obtaining a tattoo from Dandyland, hereafter referred to as the studio. I acknowledge that I have been advised of the facts and matters set forth below, and I agree as follows:
Risks
*
The possibility of discomfort or pain.
The risk of infection, (particularly in the event I do not take proper care of my tattoo).
The possibility of allergic reaction to the pigments or other materials used.
Pregnancy
*
I acknowledge that I am not pregnant. .
Variations
*
I acknowledge that variations in color and design may exist between any tattoo selected by me and as ultimately applied to my body.
Permanent
*
I acknowledge that tattooing is a permanent change to my appearance and no representations have been made to me as to the ability to later change, alter or remove my tattoo.
Legal
*
I acknowledge that the obtaining of my tattoo is by my choice alone and I consent to the application of the tattoo and to any actions or conduct of the associates, agents, or representatives of the studio reasonably necessary to perform the tattoo procedure.
Influence
*
I am not under the influence of alcohol or drugs, and am making this decision of my own free will, under no duress.
Aftercare
*
I acknowledge the receipt of written, digital or internet link to instructions advising me of proper care of my tattoo and recognize the absolute necessity of following the written instructions.
Legal
*
I agree to release and forever discharge and forever hold harmless DANDYLAND, its associates, agents, officers, and shareholders from any and all claims, damages, or legal actions arising from or connected in any way with my tattoo or the procedures and conduct used to apply my tattoo.
Age
*
I acknowledge that I have truthfully represented to the associated, agents, and representatives of this studio that I am 18 years of age or older.
Photography
*
I release all rights to any photographs taken of me and the tattoo and give consent in advance to their reproduction in print or electronic form. (If you do not tick this provision, please advise your Artist).
Touch Ups - MUST READ
I acknowledge that I have read and agree to Dandyland's touch up policy as follows:
Your tattoo should heal within 2-4 weeks. If you need a touch up, you may schedule 1 free touch up appointment after one month, but no longer than four months from the date the tattoo was originally done. Any other touch ups will be paid appointments.
**Face, ear, hand, finger and feet tattoos are not guaranteed and will always be paid touch ups**
Call or stop by to make an appointment.
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.
Legal Name:
*
Pronouns:
-select-
He/Him
She/Her
They/Them
He/Them
She/Them
He/She
He/She/They
Other
Chosen name:
Address:
Postcode:
Date of birth:
*
-Year-
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2026
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-Month-
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-Day-
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You must be 18 or older
Age:
Phone #:
*
Email:
Signature:
*
Sign 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.
Legal Name:
*
Signature:
*
Sign or type signature:
Photo Identification
*
Please take photo(s) of your government issued photo IDs and related paperwork
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