Release form

Please complete this release before your appointment. It should only take a few minutes.

Standard release form

Complete this before your appointment. Fields marked * are required.

Your information

Legal first name *Legal last name *Preferred name or nicknamePronounsPhone *Email *Confirm email *Street address *Address line 2City *State *ZIP code *

Your appointment

Date *

Time *

Placement on body *Tattoo description *

Waiver and release

Health information Tell us anything that may affect healing, such as diabetes or blood-thinning medication.Instagram handlePhoto of your ID *Maximum file size: 50 MB.Type your legal name to sign *