TATTOO & PIERCING CONSENT FORM Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Full Name *Age *Address *Phone Number * ARTIST Address Client Email Address *Emergency Contact Name *Emergency Contact Number *Service Requested *TattooPiercingPlacement Area *Tattoo Artist / Piercer Performing Service *ChrisRachelChelseaAbbieMedical HistoryDiabetesEpilepsy, fainting, seizuresHeart conditionsSkin conditionsBlood-borne virusesPregnant, breastfeedingBlood-thinning meds, antibioticsAllergies: ink, metals, latex, plasters, lidocaineAnything else we should knowID & 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.IF YOU WISH TO PURCHASE AFTERCARE PLEASE ASK YOUR ARTISTCheckboxes *I agree to follow all the advice given by my artist and once I leave it is my responsibility.Date Signede.g 03-01-2025Submit Consent Form
