Tattoo Consent Form

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Please note we cannot tattoo any persons that:

Are on blood thinners that have to carry an anticoagulant alert card.

Are currently on antibiotics.

Are on Accutane (Isotretinoin). Persons must have been off these 6 months prior to getting tattooed.

Are Pregnant or Breastfeeding.

Please be aware that you cannot give blood for 3 months after getting tattooed.

No swimming, sunbeds, saunas or direct sunlight for at least two weeks after getting tattooed.

Name of Tattoo Artist

Preferred pronouns (If applicable)

First name

Last name

Multi-line address

Country/Region

Address

City

Zip / Postal code

Date of Birth

Day

Month

Year

Proof of ID of client (If applicable)

Email

Phone

Placement of tattoo

I confirm that I understand and have been warned that this area is prone to ink drop out/fading and will most likely need a touch up. (we offer 1 free touch up ONLY and within the first 3 months ONLY).

Do you have any allergies?

Please state any allergies

Are you taking any medications?

Please state any medications

I confirm that I am not pregnant or breastfeeding.

I confirm that I am not under the influence of alcohol or drugs.

I confirm that I have eaten at least an hour prior to getting tattooed (can put you more at risk of fainting if you haven't).

INFORMATION FOR CLIENTS:

Known (potential) risks associated with tattooing:

Scarring.

Blood poisoning (Septicaemia).

Localised infection.

Allergic reaction to ink pigment.

Localised swelling around the site.

I confirm that I understand the potential risks that have been listed above.

I declare that I give my full consent to the tattooing being carried out by the aforementioned practitioner.

I confirm that aftercare instructions have been made available to me via the Luna Blue Tattoo website and agree that it is my responsibility to read through this and follow the instructions stated.

I confirm that all the above information provided by me is correct to the best of my knowledge.

I confirm that I have researched my tattoo artist by checking their work portfolio that has been made available to me online, as well as researching their healed work.

Signature of client

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