2260ink Tattoo Consent & Release Form

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Email *

I *

Your Full Name

hereby give consent to, of 22 Sixty ink Tattoo Studio: *

Valentina

Toti

Izabela

Date of Birth *

If under 18 must have parent present with valid ID and fill in a minor consent form.

YYYY

Release Information

Answering "YES" to any of these questions does not necessarily prelude the person from receiving a tattoo.

Have you eaten in the last 4 hours? *

Yes

Have you had any alcoholic beverages in the last 8 hours? *

Yes

Have you taken aspirin, ibuprofen or blood thinners in the last 24 hours? *

Yes

Are you prone to heavy bleeding? *

Yes

Are you pregnant or breastfeeding? *

Yes

Do you have high blood pressure? *

Yes

Do you have a latex allergy? *

Yes

Do you have any other known allergies? *

Yes

If yes, please advise;

Do you have any other conditions which might affect the healing of this tattoo?

I consent to having photos taken and the photos being used for Advertising (studio, FB, Insta etc.) *

Yes

We may contact you with special offers.

Address

Mobile Number *

Signature *

Submit

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