Tattoo Release Form
This Tattoo Release Form is designed to protect both the tattoo artist and the recipient. Please fill in the required details below before proceeding with your tattoo. This form is in accordance with the relevant laws in [Insert State Name].
Recipient Information:
- Name: ____________________________________
- Address: ____________________________________
- Phone Number: ______________________________
- Email: ____________________________________
- Date of Birth: ______________________________
Tattoo Artist Information:
- Artist's Name: ______________________________
- Studio Name: __________________________________
- Studio Address: _______________________________
Consent Statement:
I, the undersigned recipient, hereby consent to have a tattoo applied to my body by the above-named artist. I understand that there are risks involved, including but not limited to allergic reactions and infection.
Disclosure:
I confirm that I have disclosed any skin conditions, allergies, or medical conditions to the tattoo artist. I acknowledge that I have had the opportunity to ask any questions related to this procedure.
Release of Liability:
I release the tattoo artist and the studio from any liability related to the tattoo procedure and its results. I understand that any decisions I make regarding my body are my responsibility.
Signature: ____________________________________
Date: ____________________________________
This release form remains valid for any future tattoos performed by the same artist.