CONSENT FORM | FEAR CITY TATTOO

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First name

Last name

Email

Date of Birth

Phone

Address

Are you under the influence of drugs or alcohol? *

No

Yes

Are you currently pregnant or nursing? *

No

Yes

Do you have communicable disease? *

No

Yes

Do you have any skin conditions? *

No

Yes

Do you have any pre-existing conditions or allergies? If yes, please list them

When was the last time you ate?

I understand that this procedure is a permanent change to my skin and body

I acknowledge that Fear City Tattoo doesn't offer refunds

I agree to have my tattoo be photographed and be used for social media and marketing

I agree that Fear City Tattoo doesn't have a way of identifying if I'm allergic to the elements that will be used for my tattoo

I understand that I need to take care of the tattoo by following the instructions Fear City Tattoo gives to me

I understand that I might get an infection if I don't follow the aftecare instructions given to me

I indemnify and hold harmless Fear City Tattoo against any claims, expenses, damages, and liabilites

I confirm that the information I provided in this consent form is accurate and true

Upload photo

Upload a photo of your ID

Signed Date

Your Signature

Let your artist know you've completed this form

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