ornamentalika tattoo collective

consent to tattoo

procedure & release waiver

Client information

Full name

Date of birth

Driver's license #

Street address

City

State

ZIP

Phone

How did you hear about us?

Website Referral Instagram Google

Client signature

Sign here

Artist — staff use only

Artist name

Appointment / service date

Description (location + short description)

Inks used

Color Brand Lot # Exp. date

Artist signature

Sign here

Form submitted successfully. Thank you!

ornamentalika.ink