Tattoo Release Form

Please check all lines below, then fill in your information and sign this tattoo release form.

Are you at least 18 years old?

I do not have hepatitis:

I am not a hemophiliac (bleeder):

I am not using blood thinners:

I do not have a heart condition:

I am not under the influence of drugs or alcohol:

As far as I am aware, I do not have any physical, mental, or medical conditions or disabilities that may affect my health as a direct or indirect result of having tattoo work performed on me:

I agree to follow instructions about caring for my tattoo while it is healing:

I agree that all touch-up work needed from my negligence will be at my expense:

Being of sound mind and body, I release all persons representing YOUR COMPANY NAME from all responsibility, now and in perpetuity:

I accept all responsibility myself for the consequences of my decision to have tattoo work performed:

I agree for myself, my heirs, assigns, and legal representatives to hold harmless from all damage, actions, claim judgments, costs of litigations, attorney's fees, and all other costs and expenses that may occur from my decision to have tattoo work performed:

I agree that these waivers also pertain to any establishment where YOUR COMPANY NAME conducts business:

I have read and understood each of the above paragraphs:

Printed Name:






All tattoos must be paid in advance of the process:

All clients must present valid ID, and agree to be photographed by YOUR COMPANY NAME:

Photos will be used in portfolios and as promotion for YOUR COMPANY NAME. I agree to release my pictures for any use by YOUR COMPANY NAME:

I agree that YOUR COMPANY NAME has a no refund policy on tattoos:


Location of Tattoo:

Additional Notes:

Artist Signature:

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