All clients must sign this form before being tattooed. All information on this form will be treated with the strictest confidence and will not be disclosed to any third parties unless necessary in a medical emergency.

By signing this form I confirm the following is true to the best of my knowledge

~ Do you have any flu/covid like symptoms or been in contact with anyone who has 

   

~ Have you had any vaccinations in the last 2 days or intending to in the next week 

(tattooing can affect healing/feel run down due to immune system)

   

~ Are you under the influence of alcohol or drugs 

   

~ HIV/AIDS

   

~ Heart Condition 

   

~ Epilepsy 

    

~ Haemophilia (blood disorder) 

    

~ Skin disorder or Allergy

     

~ Hepatitis A B or C 

     

~ Are you taking anticoagulant (blood thinning) medication

    

~ Are you pregnant (Breast feeding is ok as pigment not big enough to transfer to blood/milk)

    

~ By signing this form If I choose to use numbing cream/gel/spray before and/or during my tattoo procedure I take FULL responsibility for this and or any subsequent skin reactions that may occur.

~ By signing this form If I choose to have an adhesive dressing on my tattoo I take full responsibility for any skin reactions that may occur.

~ Please list any medication you are on

     

I hereby declare that I give    my full consent to tattoo me.

I understand that a tattoo is an indelible mark for life. I am aware and agree that I will be tattooed in a safe hygienic environment that is clean and sterile. I understand that once I leave the studio my tattoo is my sole responsibility and that I will follow the aftercare advice given to me by my artist. If I have any questions once leaving I can contact my artist at any point for advice. Please note there is 24hr CCTV in the shop.

I AM 18 YEARS OF AGE OR OLDER:

AGE:

    

D.O.B

   

Full name:

        

Address:

    

Email:

     

Contact Number:

    

Tattoo (Design & Placement)

    

PLEASE READ THE FOLLOWING CAREFULLY, CHECK AND SIGN.

I     can confirm that I am happy with the design and I have CHECKED any spelling/numbers/translations within the tattoo and that neither the artist nor Turquoise Blue Tattoo is responsible for ANY misspellings.

SIGNED      DATE 2025-07-16      

SIGN HERE