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The form confirms the client has had an opportunity to ask questions, advises the tattooer of any conditions that could affect healing, and confirms absence of pregnancy or nursing and no intoxication. It also covers communicable diseases, skin conditions in the tattoo area, permanent nature of tattoos, infection and allergic reaction risks, aftercare responsibility, touch-up costs if caused by negligence, and age eligibility. Additional screening questions address HIV/AIDS, hepatitis, blood-borne illness, allergies, first tattoo, needle fears, recent food intake, fainting history, recreational drugs, and pregnancy.",{"@graph":63,"@context":119},[64,80,102],{"@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/tattoo-consent-form-level-up-tattoo-studio-health-consent-fillable-form/307229/",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/tattoo-consent-form-level-up-tattoo-studio-health-consent-fillable-form/307229.png","ImageObject",442,249,{"name":88,"@type":89},"Rizky","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-23","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",10,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What does the client confirm by signing this tattoo consent agreement?","Question",{"text":109,"@type":110},"The client confirms they have asked questions, had them answered to their satisfaction, and agree to the facts and terms described in the form, including consent for the tattoo procedure and related staff actions.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What healing and health-related conditions must the client report?",{"text":114,"@type":110},"The client must advise the tattooer of any conditions that might affect healing, including relevant medical or skin conditions in the tattoo area, communicable diseases, infections or rashes anywhere on the body, and any pregnancy status or substance influences.",{"name":116,"@type":107,"acceptedAnswer":117},"What risks and responsibilities are acknowledged regarding tattoos and aftercare?",{"text":118,"@type":110},"The client acknowledges allergic reactions to pigments/processes may occur and that infection is always possible, especially if proper care is not taken. The client agrees to follow aftercare instructions, and touch-ups needed due to the client’s negligence are the client’s expense.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},307229,1790344356,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":4},962085564807,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","\\#2-234 Primrose Drive Saskatoon, SK S7K 6Y6  \n(306) 954-1112  \n[booking@leveluptattoostudio.com](booking@leveluptattoostudio.com)  \nTATTOO CONSENT FORM  \nCircle One  \nMicheal - Trenton - Kevin - Guest Artist  \n\n| NAME | TODAY’S DATE | DOB |\n| --- | --- | --- |\n| ADDRESS |  |  |\n| CITY | POSTAL | PROV |\n| LICENCE/HEALTH CARD \\# | PHONE | EMAIL |\n\nI acknowledge by signing this agreement that I have been given the full opportunity to ask and all questions which I might have about the obtaining of a tattoo and that all of my questions have been answered to my full satisfaction. I specifically acknowledge I have been advised of the facts and matters set forth below and I agree as follows:  \n1. If I have any condition that might affect the healing of this tattoo, I will advise my tattooer. I am not pregnant or nursing. I am not under the influence of alcohol or drugs.  \n2. I do not have medical or skin conditions such as but not limited to: acne, scarring, eczema , psoriasis, moles or sunburn in the area to be tattooed that may interfere with said tattoo. I also acknowledge that I do not have any communicable disease such as HIV-AIDS, HEP. A/B/C, or any other strains, etc. If l have any of the above or other infections or rashes anywhere on my body, I will advise my tattooer.  \n3. I will not hold Level Up Tattoo Studio responsible for the work performed on me by any of the artists and acknowledge that this is the tattoo I have requested (I have seen the artwork and/ or the stencil when it was placed on my body and have acknowledged that all spelling is correct, this is the artwork I requested, I have asked any and all questions) and if I am not sure, I will say something to my artist.  \n4. I acknowledge that I do not have any physical, mental or medical impairment or disability which might affect my well being as a direct or indirect result of my decision to have a tattoo done at this time I understand that tattoos are permanent and cannot be removed.  \n5. I acknowledge it is not reasonably possible for the representatives and employees of this tattoo shop to determine whether I might have an allergic reaction to the pigments or processes used in my tattoo, and I agree to accept the risk that such a reaction is possible.  \n6. I acknowledge that infection is always possible as a result of the obtaining of a tattoo, particularly in the event that I do not take proper care of my tattoo. I have received aftercare instructions and I agree to follow them while my tattoo is healing. I agree that any touch-up work needed, due to my own negligence, will be done at my own expense.  \n7. I state that I am of age (18) to receive a tattoo. I acknowledge that I am of age, and Level Up Tattoo Studio is not responsible for further identification. If I lie about my age, Level Up Tattoo Studio is not responsible for my well being. If I sign and I am not the stated age, Level Up Tattoo Studio has the right to legally pursue action against me. The below signature release staff and associated parties from any legal responsibility re: age.  \nI consent to the application of the tattoo and to any actions or conduct of the representatives and employees of the tattoo shop reasonably necessary to perform the tattoo procedure.  \nDo you have HIV, Aids, Hepatitis (any strain) or any other blood-borne illness? 􀀁Yes 􀀁No  \nDo you have high blood pressure, diabetes, bleeding disorders, heart problems, cold/flu, etc.?   Are you pregnant? 􀀁Yes 􀀁No  \nDo you have Allergies? 􀀁Yes 􀀁No If yes, what   Occupation   Is this your first tattoo? 􀀁Yes 􀀁No Are you afraid of Needles? 􀀁Yes 􀀁No  \nHave you eating in the past 2 hours? (Should be yes) 􀀁Yes 􀀁No Have you ever fainted? 􀀁Yes 􀀁No  \nAre you currently (meaning today) using any recreational drugs (including weed)? 􀀁Yes 􀀁No  \nHow did you hear about Level Up Tattoo Studio?   NOTES Regarding any questions from above    \n\n| CLIENT | DATE |\n| --- | --- |\n| TATTOO ARTIST | DATE |","cbCaik7hk9xLWyQy","https://ap.wps.com/l/cbCaik7hk9xLWyQy","pdf",147542,"English","# Tattoo Consent Form\n## Client Information\n## Client Declarations and Risks\n## Health and Lifestyle Screening Questions\n## Consent and Signature Section","[{\"question\":\"What does the client confirm by signing this tattoo consent agreement?\",\"answer\":\"The client confirms they have asked questions, had them answered to their satisfaction, and agree to the facts and terms described in the form, including consent for the tattoo procedure and related staff actions.\"},{\"question\":\"What healing and health-related conditions must the client report?\",\"answer\":\"The client must advise the tattooer of any conditions that might affect healing, including relevant medical or skin conditions in the tattoo area, communicable diseases, infections or rashes anywhere on the body, and any pregnancy status or substance influences.\"},{\"question\":\"What risks and responsibilities are acknowledged regarding tattoos and aftercare?\",\"answer\":\"The client acknowledges allergic reactions to pigments/processes may occur and that infection is always possible, especially if proper care is not taken. The client agrees to follow aftercare instructions, and touch-ups needed due to the client’s negligence are the client’s expense.\"}]","Tattoo Consent Form - Level Up Tattoo Studio - Health Consent Fillable Form | PDF",1789846072]