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The form requires the parent or legal guardian to swear or affirm under penalty of perjury their identity, the minor's information, and their legal authority to authorize the procedure. It includes sections for the parent's signature, the tattoo artist's identification, and a formal notary acknowledgement section to ensure compliance with Florida statutory requirements. By mandating both parental authorization and professional attestation, this document provides a necessary legal framework for safety and accountability in tattooing services for minors within the state. It acts as a standardized regulatory instrument designed to protect both the facility and the minor by confirming explicit informed consent for the specific tattoo description and location, properly authenticated by a commissioned notary public.",{"@graph":63,"@context":110},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/state-of-florida-written-notarized-consent-for-tattooing-of-a-minor-child-form/285235/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/state-of-florida-written-notarized-consent-for-tattooing-of-a-minor-child-form/285235.png","ImageObject",442,249,{"name":88,"@type":89},"Mali","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-22","2026-09-17",true,{"@type":98,"interactionType":99,"userInteractionCount":30},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104],{"name":105,"@type":106,"acceptedAnswer":107},"Is notarization required for this form?","Question",{"text":108,"@type":109},"Yes, the form must be sworn to or affirmed in person before a notary public who will complete the verification section and apply their official seal.","Answer","https://schema.org",{"og:url":78,"og:type":112,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":114,"canonical":78},"index,follow",{"doc_id":116,"site_id":56},285235,1790621260,{"code":4,"msg":5,"data":119},{"doc_id":116,"user_id":120,"nickname":88,"user_avatar":121,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":122,"file_id":123,"file_url":124,"file_type":125,"file_size":126,"view_count":30,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":127,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":128,"faqs":129,"seo_title":130,"seo_description":61,"update_tm":131,"read_time":4},2336475104362,"https://ap-avatar.wpscdn.com/avatar/22000c4c46a41b752dd?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786595829695023868","STATE OF FLORIDA DEPARTMENT OF HEALTH  \nAuthority 381 .00789, Florida Statutes  \nFor Office Use Only  \n\n| (Printed Name of Licensed Salon) |\n| --- |\n| (Signature of Tattoo Artist) |\n\n(Printed Name of Tattoo Artist)  \nWRITTEN NOTARIZED CONSENT FOR TATTOOING OF A MINOR CHILD,  \nAGE 16 THROUGH 17 YEARS OLD  \nState of Florida }  \nCounty of   } Ss:  \n(Print Name of Parent or Legal Guardian)  \nResiding at:   \nHEREBY SWEARS OR AFFIRMS UNDER PENALTY OF PERJURY, that the following facts as stated in this document are true:  \n1) I am the natural parent or legal guardian of: (Print Name of Minor Child)  \n2) The Minor Child’s date of birth is: (Month) (Day) (Year)  \n3) The child’s age is: .  \n4) I have the legal authority to give consent for this child’s Tattoo.  \n5) I consent to the tattooing of my child as follows: (description & location of Tattoo)  \n(Signature of Parent/Legal Guardian)  \nSWORN TO, OR AFFIRMED, IN PERSON BEFORE ME, this   day of  \n  , 20   , by   \n(Print Name)  \nwho is personally known to me, or, who produced satisfactory identification in the form of  \nSeal:  \n(Signature of Notary)  \n(Print Name of Notary)  \nDH 4146 , 7/12 64E-28 .009, F.A.C.","cbCaigOMkpUlPhUK","https://ap.wps.com/l/cbCaigOMkpUlPhUK","pdf",17391,"English","# Parental Consent for Minor Tattooing\n## Notarized Verification and Authorization\n## Tattoo Artist and Facility Information","[{\"question\":\"Is notarization required for this form?\",\"answer\":\"Yes, the form must be sworn to or affirmed in person before a notary public who will complete the verification section and apply their official seal.\"}]","State of Florida Written Notarized Consent for Tattooing of a Minor Child - Form | PDF",1789629699]