Consent Form-Ink & Ivy Tattoo

Consent Form

Tattoo Release Form

I am not under the influence of drugs or alcohol

First/Last Name

I understand that moles, freckles, sunburns, eczema, and other skin conditions can affect the healing process of the tattoo

I have looked over my design, checked the spelling if applicable, and give full consent to receive a tattoo by the Ink & Ivy Tattoo artist of my choosing

What tattoo artist would you like to receive your tattoo from?

I acknowledge that I am not pregnant or nursing.

I acknowledge that I am over 18 years of age

ID #

I acknowledge that I am free of communicable diseases

I acknowledge that allergic reactions, pigment variation, and irritation can occur and that the artist or Ink&Ivy Tattoo studio is not responsible for this.

I acknowledge that infection is always a possibility with the tattoo process and that I will adhere to the after-care instructions given by the artist.

I acknowledge that certain medications, caffeine, nicotine, and alcohol can affect bleeding and skin tolerance to the tattoo process and that healing may be affected by these.

I acknowledge that a tattoo is a permanent change to my appearance.

I acknowledge that obtaining this tattoo that it is your choice and your choice alone.

***Medications that can affect bleeding: Blood thinners, Aspirin, blood pressure medication, Cholesterol medication, anxiety/depression medications, hormones including replacement and birth controls. Touch ups are more commonly needed when using these medications and follow-up appt may be needed.

IF APPLICABLE, I acknowledge that I am being tattooed by an apprentice.

Your Signature

Date

Artist Signature