Tattoo Studio London - NOWAK TATTOO

tattooing consent form

Name

Telephone

Age

Address

Have you suffered from any of the following? Please tick where applicable or "None of the above" box

Conditions

Heart Disease / Condition Eczema Impetigo Haemorrhaging Seizure e.g. Epilepsy Diabetes Hepatitis A, B, C Acne Psoriasis Cellulitis Bulimia HIV Infection Allergic Responses: Anaesthetics, adhesive plasters None of the above

Please make us aware of any other blood or skin conditions not listed above or any other allergy or nervous complaint. Otherwise type "none"

Other conditions

If you answer yes to any of the above you should consult a GP before proceeding. Where there is no history of any allergic reaction we would still advise spot testing of tattoo ink.

Acknowledgement 1

I acknowledge by signing this agreement that I have been given the full opportunity to ask any questions which I might have about obtaining a tattoo and that all my questions have been answered to my satisfaction

Acknowledgement 2

I acknowledge that it is not reasonably possible to determine whether I might have an allergic reaction to the pigments or the process used in my tattoo and I agree to accept the risk that such is possible. I agree to indemnify and keep indemnified the supplier / studio / tattooist against all claims or proceedings in respect of any personal injury or damage arising out of, or as a result of, the supply of service

Acknowledgement 3

I acknowledge that infection is always possible as a result of obtaining a tattoo particularly in the event that I do not take proper care of my tattoo and I agree to follow all instructions concerning the proper care of my tattoo while it heals

Acknowledgement 4

I fully understand that I must be over 18 years of age or over to be tattooed. I acknowledge that I have truthfully represented to the employees of the studio named underneath that I have today given my correct names, address and age

Acknowledgement 5

This is certify that I, the above named and undersigned, do give my permission to be tattooed and I am fully aware of the process involved and understand that importance of the daily aftercare procedure

Signed

Date

I am under 18 years of age and accompanied by my parent / guardian

parent / guardian signature

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tattooing consent form

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