Consent to Tattoo Procedure

Please complete this form before your session.

Which artist are you seeing today? * Select… Ilya Naira David Jax Butrin Yana Other Full name * Date of birth * Address * Driver's License / ID # * How did you hear about us? Select… Website Friend Instagram Google Other Describe your tattoo * Location on body * Appointment date *

Please read and check each box to acknowledge. Boxes marked optional are your choice.

Your initials * Sign below * Clear signature Submit Consent Form