Release Form

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Please Read the Following Notice:

You are hereby notified of the possible risks and dangers associated with the application of each tattoo. These risk and dangers include, but are not limited to, at least the following:

The possibility of discomfort or pain;
The permanence of the markings;
The risk of infection; and
The possibility of allergic reaction to the pigments or other materials used.

No person may be tattooed who appears to be under the influence of alcohol or drugs.

Your name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I have received a copy of applicable written care instructions and I have read and understand such written care instructions.

Client's Digital Signature:

TO BE FILLED OUT BY THE ARTIST

Artist Name:

First Name

Last Name

Clients Age

Type of valid ID:

Location of Tattoo:

Colors Used:

Client’s Date of Birth

Release Form

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Please Read the Following Notice:

— Driftwood Studio —