Consent Form | Naughty Needles

TATTOO / PIERCING / LAZER TATTOO REMOVAL
CONSENT FORM

NAME

DATE

DESIGN

SERVICE

TATTOO

PIERCING

LAZER TATTOO REMOVAL

STUDIO

THANE

GOREGAON

HOW LONG HAS IT BEEN SINCE YOU ATE LAST ?

LIST ANY MEDICATIONS YOU ARE CURRENTLY TAKING.

* I HEARBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THIS INFORMATION IS CORRECT.

* I AGREE THE SAID TATTOO / PIERCING / LAZER TATTOO REMOVAL IS CORRECTLY DRAWN TO MY SPECIFICATIONS.

* I UNDERSTAND THAT SAID TATTOO IS PERMANENT

* I AM NOT UNDER THE INFLUENCE OF ALCOHOL OR DRUGS

* I AGREE TO FOLLOW ALL INSTRUCTIONS CONCERNING THE CARE OF MY TATTOO / PIERCING / LAZER TATTOO REMOVAL

* I UNDERSTAND THAT THERE IS A CHANCE I MIGHT FEEL LIGHTHEADED, DIZZY OR FAINT BEFORE DURING OR THE AFTER THE PROCEDURE.

* NO REFUNDS

ARTIST

AKSHAY

VIJAY

MEHUL

Your email address

SIGNATURE

Phone

If you like to get featured /collaborate on our offical page, kindly provide insatgram id.

IF BELOW 18, CHILD AND PARENT(S) SINGATURE NEED TO BE DONE IN PRESENCE OF A NOTARY ALL BLANKS MUST BE FILLED IN. PARENT(S) MUST BE PRESENT AND PROPER IDENTIFICATION MUST BE PRESENTED PRIOR TO SERVICE.

I GIVE MY PERMISSION FOR MY CHILD TO RECEIVE THE SAID TATTOO / PIERCING / LAZER TATTOO REMOVAL.

PARENTAL SIGNATURE

Thanks for sharing!

TATTOO / PIERCING / LAZER TATTOO REMOVAL CONSENT FORM

TATTOO / PIERCING / LAZER TATTOO REMOVAL
CONSENT FORM