TATTOO & PIERCING CONSENT FORM

Before we do anything with ink or needles, we need this filled in.
It covers the legal stuff, checks you’re medically sound, and confirms you’re not here on a dare.
Whether you’re getting stabbed with steel or marked for life — this is step one.

Takes 2 minutes. Then we crack on.

Full Name

Age

Address

Phone Number

Email Address

Number Contact Piercer

Emergency Contact Name

Emergency Contact Number

Service Requested

Tattoo
Piercing

Placement Area

Tattoo Artist / Piercer Performing Service

Anything else we should know

ID & Age Confirmation

I confirm I am 18 for tattoos OR 16 for piercings and will provide valid photo ID at my appointment. If under 18 and requesting a piercing I confirm I have parental/legal guardian consent and will provide proof.

Client Agreement

I understand tattoos and piercings carry health risks including infection, allergic reaction, or scarring.
I confirm I have answered all health questions honestly and disclosed any relevant medical conditions.
I confirm I am not under the influence of alcohol or drugs.
I understand deposits are non-refundable.
I release The Viper Pit Tattoo & Piercing Studio and its artists from liability for complications that may arise.
I consent to photographs of my tattoo/piercing being taken for studio records and possible social media use. (optional)

At The Viper Pit Tattoo & Piercing Studio, we provide full aftercare guidance following every procedure. We only recommend using our official aftercare products, available to purchase in-studio and on our website.

Using any other products — including homemade solutions, antiseptics, or creams not supplied by us — is not recommended and may cause irritation, delayed healing, or infection.

Please select one option:

Yes – I understand and agree to follow The Viper Pit’s aftercare advice, and I have chosen to purchase the recommended aftercare products.
No – I do not wish to purchase aftercare products and understand that declining them and/or using alternative products is done at my own risk.

Checkboxes

I agree to follow all the advice given by my artist and once I leave it is my responsibility.

Date Signed

e.g 03-01-2025