Full Name *

Date of birth

Phone *

Email *

Preferred artist *

Cali
Nika
Dirty J
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Placement

Reference picture or drawing upload

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF ( max 10 Files )

Idea description in your words

First time here? *

Yes

Are you looking for a...

Tattoo

Piercing

Other

Do you have any medical conditions we should know about?

No I Do Not.

Yes I Do

May we photograph your tattoo for our portfolio and social media?

Yes

List any medications you are currently taking, &/or any Allergies (including latex, metals, soaps, pigments) that may be relevant to this tattoo.

I understand that the Tattoo Studio has a NO REFUND policy on tattoos, piercings, deposits, and retail sales. I will not request or expect a refund for any reason.

Yes, I do.

No, I do NOT.

I understand that I am responsible for verifying the meaning, translation, and spelling of any symbols, words, or designs used in my tattoo. The Tattoo Studio is not responsible for errors in meaning or spelling based on my instructions.

Yes, I do.

No, I do NOT.

I confirm that I have had the opportunity to ask questions about the procedure and that all of my questions have been answered to my satisfaction.

Yes, I do.

No, I do NOT.

I understand that variations may exist between the reference artwork and the finished tattoo. I understand that tattoos can fade or blur over time due to sun exposure, aging, and the natural dispersion of pigment in the skin.

Yes, I do.

No, I do NOT.

I have received verbal and/or written instructions on the care of my tattoo during healing. I understand that following these instructions is my responsibility and that failing to do so may increase the risk of infection or other complications.

Yes, Ido.

No, I do Not.

I understand that getting a tattoo involves inherent risks, including but not limited to infection, scarring, allergic reactions, and difficulty detecting certain skin conditions such as melanoma. I freely accept and assume all risks associated with receiving a tattoo.

Yes, I do.

No, I do NOT.

I confirm that I do not have any medical or skin condition that may interfere with the procedure, application, or healing of the tattoo, including but not limited to uncontrolled diabetes, epilepsy, hemophilia, heart conditions, immune disorders, or use of blood-thinning medication. I am not pregnant or nursing and do not have a mental impairment that affects my judgment in getting this tattoo.

Yes, I do.

No, I do NOT.

I release the Tattoo Studio, its owners, artists, apprentices, employees, and agents from any and all liability for personal injury or property damage that may result from my tattoo procedure, to the fullest extent permitted by law.I release the Tattoo Studio, its owners, artists, apprentices, employees, and agents from any and all liability for personal injury or property damage that may result from my tattoo procedure, to the fullest extent permitted by law.

Yes, I do.

No, I do NOT.

I agree that if I bring legal action against the Tattoo Studio and the Tattoo Studio or its Artist is the prevailing party, I will reimburse them for reasonable attorney fees and costs as permitted by law. I also agree that any such action shall be brought in the courts of the county and state where the Tattoo Studio is located.

Yes, I Do.

No, I do NOT.

I confirm that I am not under the influence of alcohol, drugs, or any substance that may impair my judgment and that I am voluntarily choosing to be tattooed without duress or coercion.

Yes, I do.

No, I do NOT.

Size

Budget

Preferred day/time

I HAVE READ THIS AGREEMENT, I UNDERSTAND IT, AND I AGREE TO BE BOUND BY IT. *

Clear

Date of Signature

I agree to receive non-promotional text messages from A1 Tattoo Shop related to my appointments and services. These may include booking confirmations, reminder texts, reschedule notices, artist updates, and account or service notifications. Message frequency may vary. Message and data rates may apply. Reply HELP for help or STOP to opt out. Consent is not required to submit this form. See privacy policy & terms-and-conditions

I agree to receive recurring marketing text messages from A1 Tattoo Shop. These may include promotions, limited-time deals, flash tattoo announcements, event notices, and special offers. Message frequency may vary. Message and data rates may apply. Reply HELP for help or STOP to opt out. Consent is not required to purchase goods or services. See privacy policy & terms-and-conditions