A Bravenet.com Contact Form

Minor Tattoo Consent Form - Florida Clients

By submitting this form I agree to all all terms and hereby give consent for the tattoo artist named below to perform a tattoo on the minor that I have legal guardianship of. I release the tattoo establishment named below and the tattoo artist from any and all manner of liabilities, claims, actions and demands in law, or in equity, which I or my heirs might now or hereafter by reason of complying with my request of a tattoo. I understand that any employee or independent contractor of the named establishment, when performing a tattoo does not act in the capacity as a medical professional. The suggestions made by any employee or independent contractor of the named establishment are just suggestions. They are not to be construed as, or substituted for advice from a medical professional.I understand that the tattoo will be performed using appropriate techniques, instruments and pigments. I also understand that infections can occur due to lack of proper aftercare hygiene and/or pigment sensitivities. To ensure proper healing of my tattoo, I agree to follow written and/or verbal aftercare instructions that will be provided until healing is complete. I understand that a tattoo may take several weeks to heal properly.

Enter Date * date_range

Parent or Legal Guardian's Name *

Minor's Name *

Minor's Birthday * date_range

Email *

Phone *

Tattoo Artist's Name *

Tattoo Location *

Tattoo Description *

Physician Name *

Physician Phone *

Emergency Contact Name *

Emergency Contact Address *

Emergency Contact Phone *

Minor's Medical Conditions *

Minor's Allergies *

I agree to proof-read my stencil prior to tattooing and that my tattoo artist is not responsible for misspellings, incorrect grammar, dates or numbers. * I agree

I agree to check and approve the location of the stencil. * I agree

Select "Camera" and photograph your notarized Minor Tattoo Consent Form, your photo I.D. and the minor's I.D. together in 1 photograph. *

Tattoo Artist's Digital Signature *

I agree and understand that by signing the Electronic Signature Acknowledgment and Consent Form, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement. * I agree

Parent or Legal Guardian's Digital Signature *