Tribe Tattoo
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Today's Date:
Thu Apr 25 2024 10:29
This must be filled in and submitted within 24 hours before your appointment.

If you have any symptoms of Covid - 19 then please cancel your booking.
Please turn up on time for your appointment.
Please read and answer
 
What is the date and time of your booking?*
 

 
Who are you booked in with?*
George (Body Piercer) Morag (Tattoo) Sarah (Tattoo) Erik (Tattoo) Laura (Laser) Roz (Laser) Other

 
Please tick the boxes if you are living with any of the following :
Epilepsy Psoriasis Diabetes Eczema Haemophilia High blood pressure Hepatitis Other..

 
Are you pregnant?*
Yes No Not sure N/A

 
Are you allergic to latex?*
Yes No

Y
N
Are there any other allergies or health conditions you would like to mention that you would think would be relevant to your procedure?
Details:
 

 
If you are taking any medication, what do you take?
 

 
If you are here for a piercing, which piercing / piercings are you having?
 

Please make sure that you eat and hydrate before your appointment to avoid feeling lightheaded.
Thanks! :-)

Tribe Tattoo
If any provision, section, subsection, clause or phrase of this release is found to be unenforceable or invalid, that portion shall be severed from this contract. The remainder of this contract will then be construed as though the unenforceable portion had never been contained in this document.
Client Information
I hereby declare that I am of legal age (with valid proof of age) and am competent to sign this Agreement.
Name:*
Address:*
Postcode:
Date of birth:*
Phone #:*
Email:*
Signature:*


Photo ID
Please take photo(s) of your government issued photo IDs and related paperwork.