Tattoo Waver

Please fill out the Consent Waiver completely. All clients are required to have a Consent Waiver on file.

First and last name

Date of birth

Month

Day

Year

Phone

Emergency contact first and last name.

Emergency contact phone

Medical History

Are you currently 18 or older?

Yes, I'm 18 or older.

I'm not yet 18.

Do you have any medical conditions we should be aware of (e.g., diabetes, heart conditions, epilepsy)?

Are you currently on any medications (including blood thinners, pain medications, etc.)?

Do you have any allergies (e.g., latex, adhesives, inks, metals)?

Have you had any reactions to tattoo ink or aftercare products in the past? If yes, please explain below.

Do you have any skin conditions (e.g., eczema, psoriasis, dermatitis) that may affect the area to be tattooed?

Are you pregnant or breast feeding?

Yes, I'm pregnant/ Breast feeding.

No, I'm not pregnant/ Breast feeding.

Yes, I'm breast feeding but not pregnant.

Yes, I'm Pregnant.

Is there any medical conditions not listed you feel the artist should be aware of?

Informed Consent

I understand that the tattoo process involves breaking the skin and may cause pain, discomfort, bleeding, and scarring

I understand that there are risks of infection if aftercare instructions are not followed.

I confirm that I am not under the influence of drugs or alcohol.

I acknowledge that the final result may differ slightly from the design due to the nature of skin and healing.

Client Agreement

I have reviewed the design and placement and agree to proceed.

I understand that deposits are non-refundable.

I confirm that I am of legal age to get a tattoo. (18)

I give permission for photographs of my tattoo to be taken and potentially used for the artist's portfolio or social media.

Upload photo ID

Signature

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JOSHUA CORDEAL ART
Fine Artist & Tattooist