Consent form

First name

Last name

Phone

Date of birth

Month

Day

Year

Please list all of your medical conditions and preferences

Name of tattoo artist

ID verification

Upload a photo of the government-issued ID used to verify your age.

☐ Driver's License
☐ State ID
☐ Passport
☐ Other government-issued photo ID

By signing below, I acknowledge that I have provided accurate information, reviewed and approved my tattoo design and placement, disclosed relevant health information, received aftercare instructions, and understand the risks associated with tattooing. I voluntarily consent to the procedure and understand that my information will be maintained as part of Azura Studios’ required client records.

Todays date

Month

Day

Year

Signature

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