Iron Palm Tattoo & Body Piercing Consent Form

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Your Name

First

Last

Name must match your official identification.

Your Email

Confirm Email

An email address where we can communicate with you.

Your Phone Number

Preferably a mobile phone but a number we can reach you at.

Your Birthday

You must be 18 or older to get a tattoo.

Your Instagram @

If a photo of your tattoo or piercing is used. We use this to give you credit. Not required...

How did you find out about us?

What type of body art are we providing you?

Select Tattoo or Body Piercing.

Please read entirely & check to consent.

I Consent I acknowledge by signing this agreement that I have been given the full opportunity to ask any and all questions which I might have about the obtaining of a tattoo or body piercing and that all of my questions have been answered to my full satisfaction. I understand there is a 10% fee on all services. I specifically acknowledge I have been advised of the facts and matters set forth below and I agree as follows: If I have diabetes, epilepsy, hepatitis, hemophilia, HIV-AIDS, or any other communicable disease, heart condition or take medicine which thins the blood I have advised my tattooist. I am not pregnant or nursing. I am not under the influence of alcohol or drugs.I do not have medical or skin conditions such as but not limited to: acne, scarring (Keloid), Eczema, psoriasis, rash, infection, lesion, freckles, moles or sunburn in the area to be tattooed that may interfere with said tattoo. If I have any type of infection, rash, or lesion anywhere on my body, I will advise my tattooist. I acknowledge it is not reasonably possible for the representatives and employees of this tattoo shop to determine whether I might have an allergic reaction to the pigments or processes used in my tattoo , and I agree to accept the risk that such a reaction is possible.I acknowledge that infection is always possible as a result of the obtaining of a tattoo, particularly in the event that I do not take proper care of my tattoo. I have received aftercare instructions and I agree to follow them while my tattoo is healing. I agree that any touch-up work needed, due to my own negligence or failure to follow such instructions, will be done at my own expense. I realize that variations in color and design may exist between any tattoo as selected by me and as ultimately applied to my body. I understand that if my skin color is dark, the colors will not appear as bright as they do on light skin.I understand that if I have any skin treatments, laser hair removal, plastic surgery or other skin altering procedures, it may result in adverse changes to my tattoo.I acknowledge that a tattoo is a permanent change to my appearance and that no representations have been made to me as to the ability to later change or remove my tattoo. To my knowledge , I do not have a physical, mental or medical impairment or disability which might affect my well-being as a direct or indirect result of my decision to have a tattoo. I acknowledge I am over the age of eighteen and that I have truthfully represented to my tattooist that the obtaining of a tattoo is by my choice alone. I consent to the application of the tattoo and to any actions or conduct of the representatives and employees of the tattoo shop reasonably necessary to perform the tattoo procedure.I understand that IRON PALM TATTOOS reserves all rights to use any photos o f my piercing or tattoo. I understand cost for this tattoo will be discussed and agreed upon before work for the tattoo or piercing commences and agree to pay for procedure in full recieving service. I hereby release and forever discharge and hold harmless IRON PALM TATTOOS, the Tattooist and all affiliates, Owners, Managers and Employees from any and all claims, damages or legal actions arising from or connected in any way with my tattoo, or the procedure and conduct used in my performing my tattoo, to the fullest extent allowed by the law.

SMS Consent:

Iron Palm uses SMS to both communicate during your servicing at the storefront and about tattoo & piercing aftercare and body art marketing relevant to your purchase. Do you consent to stay in touch?

Service Fee

Upon signing this agreement I agree to pay a 10% service fee on all transactions..

Have you paid a deposit?

Your Signature

Clear Signature

Signing completes this form.

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