Information
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TATTOO
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Conducted on
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ARTIST
- Robin Fitzgerald
- Kris Norton
- ROOSTER Jonathan Siegler
- Neil Humphry
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CLIENT INFORMATION
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ID Type
- DL
- Military
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D.O.B.
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TATTOO LOCATION
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COLORS USED
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PLEASE READ THE FOLLOWING NOTICE
YOU Are hereby notified of the POSSIBLE, but not limited to Risk and Dangers listed below associated with receiving a Tattoo.
1- Discomfort 2- Scarring 3- Swelling 4- Bleeding
5- Risk of Infection 6- Allergic reaction to the pigments or other materials used to perform a Tattoo.
NO PERSON WHO APPEARS TO BE UNDER THE INFLUENCE of ALCOHOL or DRUGS WILL BE TATTOOED -
NAME: I HAVE RECEIVED A COPY OF APPLICABLE WRITTEN AND VERBAL CARE INSTRUCTIONS. I HAVE READ AND UNDERSTAND SUCH WRITTEN AND CARE INSTRUCTIONS.
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e-mail
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Cell#
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Address City State ZIP
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Add media
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Any person under the age of 18 will NOT be tattooed unless it is a cover up deemed in the best interest of the minor. The PARENT is present during the entire process and have ALL appropriate forms signed by certified notary.
NO EXCEPTIONS WILL BE MADE.
