2260ink Tattoo Consent & Release Form
Email *
I *
Your Full Name
hereby give consent to, of 22 Sixty ink Tattoo Studio: *
Date of Birth *
If under 18 must have parent present with valid ID and fill in a minor consent form.
MM
/
DD
/
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? *
Have you had any alcoholic beverages in the last 8 hours? *
Have you taken aspirin, ibuprofen or blood thinners in the last 24 hours? *
Are you prone to heavy bleeding? *
Are you pregnant or breastfeeding? *
Do you have high blood pressure? *
Do you have a latex allergy? *
Do you have any other known allergies? *
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.) *
We may contact you with special offers.
Address
Mobile Number *
Signature *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy