Name *

First Name

Last Name

Phone *

(###)

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth *

MM

DD

YYYY

Have you been tattooed at Frontier before? *

Yes

No

Health & Safety *

Getting tattooed can carry certain risks. Although rare, possible health risks include infections, allergic reactions, scarring, and keloid formation. It is important to inform your tattoo artist of any allergies, medical conditions, or medications that you are currently taking before getting a tattoo.

Agree

Aftercare *

Proper aftercare is essential for the healing of your tattoo. We will provide you with aftercare instructions, which you must follow carefully to avoid infection and ensure proper healing.

Agree

Age Restrictions *

You must be 18 years or older to get a tattoo. You must provide a valid form of photo ID i.e. passport/driving license for us to copy and attach to this form. We have the right to refuse your appointment if you do not have a valid form of ID with you.

Agree

Photography & Videography *

I grant the right to photograph my tattoo for the tattoo artists’ portfolio and promotional purposes, including but not limited to, social media, website, and advertising materials. I understand that these photographs may include images of me and my tattoo and that these images may be used for commercial purposes. Additionally, we may film parts of your tattoo session for promotional purposes, including social media platforms such as Instagram and TikTok, and other marketing materials. By signing this form, you grant us your consent to use your likeness in such videography.

Agree

Your Consent *

I hereby declare that I fully consent to the tattoo being performed by the practitioner. I acknowledge that I have read and fully understand the risks and responsibilities associated with getting a tattoo. I understand the importance of proper aftercare and acknowledge that a written aftercare advice sheet containing more detailed information has been provided to me. I accept that it is my responsibility to read and follow the instructions until the tattoo has healed. As a client seeking a tattoo, I understand that tattoo placement can have significant implications, including potential impacts on my employability. Therefore, I acknowledge that it is my responsibility to inform myself of the potential consequences of tattooing visible areas such as the hands, neck, and face etc. I affirm that the information provided by me on this consent form is accurate to the best of my knowledge. I am of legal age (18+) to receive a tattoo and I am not currently under the influence of drugs or alcohol.

Agree

Do you feel unwell or have cold/flu symptoms? *

Yes

No

Do you have any heart conditions such as a heart valve condition, angina, or blood pressure problems? *

Yes

No

Do you have epilepsy? If yes, could you please share how it is controlled? *

Yes

No

Do you have haemophilia or any other blood clotting disorders? *

Yes

No

Do you have diabetes or any autoimmune conditions? *

Yes

No

Do you have any blood-borne viruses? *

Yes

No

Have you experienced any problems with skin healing in the past, such as psoriasis or eczema? *

Yes

No

Do you have any known allergic responses to plasters, creams, metals, or other substances? If yes, please indicate which. *

Yes

No

Do you take any prescribed medication, especially anticoagulants like warfarin, high dose aspirin, immune suppressants, or steroids? If yes, please indicate which. *

Yes

No

To make sure that you are comfortable throughout the tattooing process. Are there any medical conditions or circumstances that we should be aware of that might make it challenging for you to sit or lie down for an extended period of time? *

Yes

No

Are you currently pregnant or breastfeeding? *

Yes

No

Are you under the influence of drugs and/or alcohol in any capacity? *

Yes

No

Do you have a history of fainting attacks? *

Yes

No

Is there any other relevant information you would like to share? *

Yes

No