Tattoo Consent & Release Form Tattoo Consent & Release Form Client Information Full Legal Name Date of Birth Phone Number Email Address Government-Issued Photo ID Number Emergency Contact Emergency Contact Phone Medical Disclosure Check any that apply: Bloodborne diseases Skin conditions Allergies Diabetes Heart conditions Pregnant or nursing Under the influence Details (if any) Consent & Release (Initial Each) I am at least 18 and have valid ID Voluntary procedure Understanding risks Disclosed conditions Agree to aftercare Creative trust in artist Release of liability Photo Consent for Portfolio Yes No Signatures Client Signature (Typed) Date Artist Signature Date Submit Form