Client Consent Form

The Tattoo Parlor · 501 S Mustang Rd, Suite P, Yukon, OK 73099 · 405-882-4335

Personal Information

Full Name

Date of Birth Phone

Address

City State ZIP

Health Questionnaire

Allergies — please specify

When did you last eat?

Other medical conditions that might affect healing

Acknowledgment & Consent

I acknowledge the risks of tattooing, including infection, allergic reactions, and scarring. I confirm I have received and understand the aftercare instructions. I consent to the tattoo application and necessary procedures.

Signature

Sign with your finger or mouse. Parent/guardian signs for minors.

Client Consent Form

Personal Information

Health Questionnaire

Acknowledgment & Consent

Signature

Consent received ✓

ID check