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Healing Ink, Chicago
A select group of Chicago's most famous and talented artists providing free tattoos for those affected by gang violence and other violent crimes, including survivors and family members of victims. By so doing, we hope to help these individuals reclaim their bodies and find beauty and healing.
Date of Birth
I am a...
Military (those in service during or related to 9/11)
Other (please contact
Please tell us your 9/11 story
Why do you want to participate in this program?
Please describe general elements of the tattoo you would like to get, including size and location (note: all tattoos will be decided in collaboration with the Healing Ink team and the artist)
Please describe the meaning and significance of your tattoo (note: the meaning does not have to related to the events of 9/11)
Do You Have Other Tattoos
Would you be comfortable being tattooed at the Memorial?
Please confirm the following:
I agree to be photographed, videotaped and to have my story shared publicly
I agree that Artists 4 Israel, Bishop Tattoo Supply and Healing Ink may use my name and likeness for all promotional purposes
I agree to be tattooed in a public location
I agree that I am over 18 and may legally obtain a tattoo in NYC
All the statements I make on this form are true and correct to the best of my knowledge
How did you hear of this program?
Your E-mail Address
Your Phone Number
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