Consent & waiver, classic form

Tattoo consent template

A tattoo consent with ID, health checks, the design and placement, risk, permanence, aftercare and age acknowledgements and signatures.

20 questions, 18 required, as a classic form

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The Tattoo consent template as a respondent sees it, top of the form

Every question

  1. Name (required)

    Full name

  2. Date of birth (required)

    Date

  3. Mobile (required)

    Short answer

  4. Email (required)

    Short answer

  5. Photo ID (required)

    Photo

  6. Tick everything that applies (required)

    Multiple choice: Diabetes, Heart condition, Haemophilia or blood thinners, Epilepsy, Skin condition at the site (eczema, psoriasis, keloid scarring), Pregnant or breastfeeding, Allergy to latex, nickel or ink, Alcohol or drugs in the last 24 hours, None of these

  7. Medications and allergies

    Long answer

  8. Are you being treated for anything else we should know about?

    Short answer

  9. Artist (required)

    Dropdown: [Artist 1], [Artist 2], Guest artist

  10. Placement (required)

    Short answer

  11. Approximate size in cm (required)

    Short answer

  12. The design (required)

    Multiple choice: I have seen the final stencil and approve the design, spelling, placement and size

  13. Risks (required)

    Multiple choice: The risks above have been explained to me

  14. Permanence (required)

    Multiple choice: I understand the tattoo is permanent

  15. Aftercare (required)

    Multiple choice: I will follow the aftercare instructions I am given

  16. Sobriety (required)

    Multiple choice: I am not under the influence of alcohol or drugs

  17. Age (required)

    Multiple choice: I am 18 or over and the ID above is mine

  18. May we photograph the finished tattoo for the studio portfolio? (required)

    Single choice: Yes, No

  19. Signature (required)

    Signature

  20. Artist initials (required)

    Short answer

What you fill in

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