Tribe Tattoo
Ask a staff member what to enter
Today's Date:
Thu Apr 25 2024 02:00
This must be filled in and submitted WITHIN the 24 hour period before your appointment.
DO NOT SEND IT BEFORE THEN. Otherwise you'll have to send another one nearer the time
If you have any symptoms of Covid- 19 then please cancel your booking.
Please turn up on time for your appointment.
If you are early for your booking you will need to wait outside.
Please wear a surgical mask and use the hand sanitiser on arrival. Please also sanitise your mobile phone.
Due to Covid - 19 we need to limit the amount of people in the studio so please come to your session on your own.
Please read and answer
 
Who are you booking in with?*
 
 
What is the date and time of your booking?*
 
 
Which service are you booked in for?*
Tattoo Piercing Tattoo removal Cosmetic tattooing Other
 
Please tick the boxes if you are living with any of the following :
Epilepsy Psoriasis Diabetes Eczema Hemophilia High blood pressure Hepatitis Other...
 
Please tick the boxes if you CURRENTLY have any of the following symptoms :
A high temperature A new continuous cough A loss of, or change in your sense of smell Shortness of breath and / having breathing difficulties A sore throat, congestion or runny nose Headaches, muscle or body aches, including leg cramps Fatigue or exhaustion Inability to wake and stay awake
 
Are you pregnant?*
Yes No Not sure N/A
 
Are you allergic to latex?*
Yes No I have a sensitivity to it
Y
N
Are there any other allergies or 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?
 
Do you understand that we cannot treat anyone that is under the influence of drugs or alcohol?*
Yes
Do you agree to arriving with your own good quality face mask, and to wearing it at all times inside the studio?*
Will you make sure you eat and hydrate before your appointment to avoid feeling light headed?
Yes
 
Do you, or anyone you are in close contact with have a medical condition that would put you / them at higher risk to the effects of Covid- 19?
Yes No
Y
N
Since January 2020, have you tested positive for Covid - 19?*
Details:
 
 
Please only tick these boxes if you agree with the following statements :*
Within the last 14 days, I have not been diagnosed with Covid- 19, nor have I experienced any Covid- 19 symptoms. To the best of my knowledge, within the last 14 days no member of my household has been diagnosed with Covid- 19, nor have they experienced any Covid- 19 symptoms. To the best of my knowledge, within the last 14 days neither myself nor any other member of my household have been exposed to anyone diagnosed with Covid- 19 or experiencing Covid- 19 symptoms. I can confirm that all statements are true and correct, and I can think of no reason why I cannot proceed with my appointment at Tribe Tattoos.
Are you happy to respect social distancing in the studio, and to use the hand sanitiser on arrival and whenever else it is required?*
Yes
 
If you are having a piercing/ piercings, what are you having? Where on the body is it going?
 
 
What jewellery are you going for?
Stud Bar
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:*


Emergency Contact
If something happens, your emergency contact might need to explain your medical history, allergies, or medications.
Name:
Phone #:*
Photo ID
Please take photo(s) of your government issued photo IDs and related paperwork.