Consent Forms

Please fill out consent form 48 hours prior to your appointment date. Send a photo of your vaccination card if you will be included in our film project.

Name *

First

Last

Email *

Tattoo artist *

Tattoo studio *

Emergency contact name and phone number *

Date / Time

Date

Time

Upload a clear photo of your legal ID *

Click or drag files to this area to upload. You can upload up to 2 files.

I hereby give my informed consent for the following tattoo procedure to be performed by “Monica Hollow” at Hollow Moon Tattoos & Sorcery *

I understand that the tattoo process involves the use of needles and pigments that will be inserted into my skin, which may cause temporary or permanent changes to my appearance. *

I have provided accurate information regarding my medical history, including any known allergies, skin conditions, or medications that may affect the tattoo procedure or healing process. *

I acknowledge that the tattoo design, size, and placement have been discussed and agreed upon between myself and the tattoo artist. I understand that any changes made to the design after this consent form is signed may result in additional charges. *

I am aware that the tattoo procedure carries certain risks, including but not limited to infection, allergic reactions, scarring, and dissatisfaction with the final result. I accept these risks and release the tattoo artist and studio from any liability associated with the tattoo procedure.

I understand that proper aftercare instructions will be provided by the tattoo artist, and I am responsible for following these instructions to ensure proper healing. I will notify the tattoo artist of any complications or concerns during the healing process. *

I certify that I am of legal age to receive a tattoo in the state of Rhode Island *

I grant permission to the tattoo artist and studio to photograph and use images of the tattoo for promotional purposes, while ensuring my personal information remains confidential. *

I have read and understood the information provided in this consent form. I have had the opportunity to ask questions, and all my concerns have been addressed to my satisfaction. By signing below, I voluntarily consent to the tattoo procedure described above. *

Phone

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