top of page

Tattoo Waiver

This is a standard form and legally binding.

Please read the entire form and sign at the bottom and take a PHOTO of your I.D.

Date of Birth -DATE MUST MATCH DATE ON ID-
Month
Day
Year
Indicate below any of the following conditions that you may have, knowing that these conditons may affect the outcome of your physical being, or the integrity of your tattoo.
None
Pregnant Or Nursing
Hemophilia Hepatitis A, B or C or other bleeding disorders.
Prone To Scarring or Raised Skin
Latex Allergies (please mention this to your artist...)
Breathing Conditions
Diabetes
Other (please explain below)
Are you allergic to antibiotics?
Yes
No
Do you have cardiac valve disease? If yes, we require release from your doctor to be tattooed.
Yes
No
Do you have a history of medication use including but not limited to being prescribed antibiotics prior to dental or surgical procedures that would prevent you from being tattooed today?
Yes
No

Take a picture of your ID with your phone then upload the photo here.

bottom of page