Are you OVER 18 Years Old *

Legal Guardian Consent Required - Please complete the waiver on behalf of your child

 

 

Suffers from any heart conditions (e.g prosthetic heart valve/ heart valve disease/ angina/ blood pressure problems)?
Suffers from haemophilia/other clotting disorders?
Suffers from epilepsy? If Yes, how controlled?
Suffers from any ‘lumpy’ raised scars (keloid scars)?
Suffers from any problems with skin healing in the past, e.g psoriasis, eczema?
Suffers from diabetes or lupus?
Suffers from any known allergic responses e.g. plasters/creams/metals/iodine/shellfish/latex/food - stuffs/other? Indicate which:
Is the client pregnant?
Prone to ‘fainting attacks’? If Yes, state reason:
Any known/previous reactions to dye pigments?
Any previous piercing at proposed site?
Have you consumed alcohol/ drugs in the last 24 hours?
Had any surgery in the area of the proposed Tattoo/Piercing