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Consent Form

    Do you currently suffer or have you ever suffered from the following:-


    If you have selected any of the above please give details here:-

    Please provide any details of any associated problems which may prevent you from getting tattooed:-

    Are you breast feeding


    Covid-19 Declaration

    I declare that all of the information provide is correct to the best of my knowledge!

    After consulting with my artist I am happy to proceed with my desired tattoo today.

    I will agree and adhere to aftercare advice given and am aware that improper care of my tattoo can result in infection.

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