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Tattoo Consent Form 

PLEASE NOTE WE CANNOT TATTOO ANY PERSONS THAT: 

  • ARE ON BLOOD THINNERS THAT HAVE TO CARRY AN ANTICOAGULANT ALERT CARD (DUE TO RISK OF BLOOD CLOTTING).

  • ANTIBIOTICS (RISK OF INFECTION IS MUCH HIGHER) THE COURSE OF TABLETS MUST BE FINISHED AND INFECTION CLEARED UP BEFORE GETTING PIERCED.

  • PREGNANT OR BREAST FEEDING (IF AN INFECTION OCCURS INFECTION CAN BE TRANSFERRED TO THE BABY THROUGH THE BLOODSTREAM).​​

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PERSONS MUST BE 18 OR OVER TO BE TATTOOED. A VALID PHOTO ID IS REQUIRED (PLEASE ATTACH BELOW). PARENTAL CONSENT IS NOT ACCEPTED.

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PERSONS MUST HAVE EATEN PRIOR TO GETTING TATTOOED, ESPECIALLY IF YOU ARE PRONE TO FAINTING! IF YOU HAVEN'T PLEASE GRAB SOMETHING FROM THE SHOP NEXT DOOR .

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Name of Premises: Luna Blue Tattoo

Address of Premises: 92 Rectory Grove, Leigh On Sea, Essex, SS9 2HL

Telephone Number: 01702 875110

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PLEASE INDICATE IF YOU SUFFER FROM ANY OF THE FOLLOWING:

FOR CLIENTS INFORMATION:

Known (Potential) risks associated with tattooing:

  • Scarring 

  • ​ Blood Poisoning (Septicaemia)

  •  Localised Infection

  •  Allergic Reaction to Pigment

  •  Localised Swelling Around the Site

Please wait for the page to change to "Thank you for submitting" before exiting the form.

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