Consent Form Name * First Name Last Name Date of Birth * Phone (###) ### #### What services are you interested in? * Tattoo * If I have any condition that might affect the healing of this tattoo, I will advise my tattooer. I am not pregnant or nursing. I am not under the influence of any drugs/alcohol. I acknowledge that infection/swelling is always a possible result of the obtaining of a tattoo, particularly in the event that I do not take proper care of my tattoo. I acknowledge that I am 18 years or older. I understand that photographs of the tattoo may be used in publication, electronic media, or other forms of communication. How did you hear about estela inks? Option 1 Option 2 Signature * Thank you!
