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Tracy Campbell
Jes Bobbett
Madi Valley
Eric Bell
Annika L-A
Piercings by Ariana
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CONSENT FORMS
TATTOO CONSENT FORM
PARLOUR TRICKS TATTOOS LLC.
16255 W 64th Ave, Unit 13 Arvada, CO 80007.
(720)726-3854
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Name
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First
Last
Date
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Date of Birth
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Address
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City
State
Zip Code
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Phone Number
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Location of tattoo on body
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description of tattoo design
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Select any of the following conditions that apply to you
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currently taking blood-thinning medication
neurologically or immunocompromised
Diabetes
Hemophilia
Pregnant, possibly pregnant or breastfeeding
Skin Diseases
None of the above
If you selected skin diseases, list them here
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Select the following allergies that apply to you
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latex
dye
pigments
soaps
disinfectants
metals
none of the above
If you selected an allergy, specify here
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List any medications you are currently taking, or type "NA" if you are not currently taking medication
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Please read and agree to the following statements by checking each box
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I acknowledge that I have truthfully represented myself to the artists and representatives of Parlour Tricks Tattoos LLC that I am over the age of 18 years, or that if I am a minor, I am over the age of 16 years and accompanied by a parent/guardian.
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I acknowledge that the acquisition of my tattoo is by my choice alone and I consent to the application of the tattoo and to any actions and/or conduct that the representatives of Parlour Tricks Tattoos LLC deem necessary to perform the tattoo.
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I acknowledge that a tattoo is a permanent change to my physical appearance and can only be removed by laser or surgical means, which can be disfigured and/or costly and which in all likelihood will not result in the restoration of my skin to its exact appearance before being tattooed.
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I acknowledge that it is not reasonably possible for the representative of Parlour Tricks Tattoos LLC to determine whether I might have an allergic reaction to the dyes, pigments, or process used in my tattoo and I agree to accept the risk that such a reaction is possible.
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I acknowledge that infection is always possible as a result of not taking proper care of my tattoo.
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I acknowledge receipt of written instructions advising me the proper care of my tattoo. I understand how important it is to follow instructions in order to get the best final result possible.
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I acknowledge to release and forever hold harmless Parlour Tricks Tattoos LLC, its owner, artists, apprentices or representatives from any and all damages or legal actions arising from or connected to my tattoo, the procedures, and/or conduct of all parties present during the application of my tattoo.
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I acknowledge that the artist and Parlour Tricks Tattoos LLC have given me full opportunity to ask any and all questions about the application/procedure of my tattoo and all of my questions have been answered to my total satisfaction.
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I do not have a mental impairment that may affect my judgment in getting this tattoo. I am not currently under the influence of any drugs or alcohol that may affect my judgment. I am voluntarily consenting to be tattooed by the artist.
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I acknowledge that variations in color and design may exist between the tattoo art I have selected and the actual tattoo when it is applied to my body. I understand that over time, the colors and the clarity of my tattoo will fade due to variations in my natural skin pigmentation and the naturally occurring dispersion of pigment under my skin.
Signature (type full name below)
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First
Last
Date of Signature
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Artist
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Tracy
Jes
Madi
Eric
Annika
Aidan
Katie
The Enigma
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Home
Book Now
TATTOO ARTISTS
Tracy Campbell
Jes Bobbett
Madi Valley
Eric Bell
Annika L-A
Piercings by Ariana
Contact
CONSENT FORMS
