Name *

Last name *

Address *

Street and house number

Postcode *

Place *

Date of birth *

E-mail *

Phone number

Guardian

If under 16, please indicate guardian

Describe the tattoo

Place of the tattoo *

Brand of the tattoo ink

ask the manager/artists

Batchnumber inkt

ask the manager/artists

I have considered the information about the risks of getting a tattoo. *

I have been informed about possible risks and complications associated with getting the tattoo and I understand the information. *

I am not currently under the influence of alcohol or drugs or any other substance that may affect my perception, free will and judgment. *

The aftercare procedure has been clearly explained to me and I understand what actions to take and what precautions to take. I received my own copy of the aftercare procedure. *

I give permission for the tattooing as described under point 3 to be carried out by the named tattoo artist. *

I confirm that the tattoo artist may keep this consent form on file. *

I am aware of and accept the risks and potential complications associated with getting a tattoo. *

I confirm that I have given the above information and statements to the best of my knowledge and belief and that they are correct. *

Signature guardian in agreement (if under 16)

The artist confirms that the tattooing is performed under hygienic conditions with suitable sterile instruments and safe techniques and according to EN 17169 and corresponding national requirements.

And that the client has been offered a copy of this signed consent form and that the client has been advised to retain the information.

Name of the artist

Tattoos on the hands, feet, knees and elbows fade quickly and in some cases even become invisible. We do not give a guarantee on tattoos in the above places. A touch up is therefore not free of charge.

Touch up warranty read and agreed *

I indicate that I have read the above text about touch up and agree with it.

Date of today *

Customer signature in agreement *

Consent form

T-Shirt Goons & Queens Zwolle

T-Shirt Goons & Queens Zwolle