Have you ever suffered from the following? Tick yes where applicable
If you answered yes to any of the above, you should consult a GP before your appointment.
I acknowledge by signing this agreement that I have been given opportunity to ask any questions I have about the
tattoo and that all of my questions have been answered.
I acknowledge I have been advised of the facts and matters below and I agree as follows:
• I acknowledge that infection is always possible as a result of the obtaining of a tattoo, particularly in the event that I
do not take care of my tattoo. I have received aftercare instructions and I agree to follow them while my tattoo is
healing. I agree that any touch-up work needed, due to my own negligence, will be done at my own expense.
• I realise that variations in colour and design may exist between any tattoo as selected by me and as ultimately applied
to my body. I understand that if my skin colour is dark, the colours will not appear as bright as they do on light skin.
• I acknowledge that a tattoo is a permanent change to my appearance. To my knowledge, I do not have a physical,
mental or medical impairment or disability which might affect my judgement in deciding to proceed with the tattoo.