Satori Tattoo | Award-Winning Tattoo & Piercing in Northern Colorado

Consent & Liability Waiver Form

First Name *

Person Being Tattooed/Pierced

Last Name *

Person Being Tattooed/Pierced

Phone *

Person Being Tattooed/Pierced

Email *

Person Being Tattooed/Pierced

Date of birth *

Person Being Tattooed/Pierced

Postal Code *

Who is the artist you are working with? *

If you do not know, please ask for the artists name that will be working with you.

What Services Are You In For Today? *

Tattoo

Piercing

Both

Are you a minor? *

No

Yes

Person Being Tattooed/Pierced

Medical & Health Disclosures

Do you have allergies to latex, pigments, dyes, disinfectants, soaps, or metals? *

Yes

No

Unknown

Please let your artist know what you are allergic to before beginning.

Are you pregnant or nursing? *

No

Nursing

Pregnant

If you are pregnant we cannot tattoo or pierce you 😔

If you are nursing, please consult with your medical professional.

Are you under the influence of drugs or alcohol? *

No

Yes

Do you have hemophilia? *

No

Yes

Do you have skin lesions, skin diseases, or scars? *

No

Yes

Are you currently in treatment with anticoagulants or heart-related medication? *

No

Yes

Are you diabetic? *

No

Yes

There is an increased risk involved. Please consult with a medical professional.

Acknowledgements & Liability Waiver

I understand that tattooing is a permanent change to my body. *

Yes

I understand that the studio does not offer refunds under any circumstances. *

Yes

I agree that the artist/studio cannot pre-determine whether I may have an allergic reaction. *

Yes

I understand that I am responsible for properly caring for my tattoo or piercing by following the aftercare instructions provided. *

Yes

I acknowledge that failure to follow aftercare may result in infection, fading, or complications. *

Yes

I agree to immediately notify the artist if I feel faint, dizzy, or lightheaded before, during, or after the procedure. Failure to do so releases the studio and artist from responsibility. *

Yes

I understand that if I am pregnant, nursing, or have health complications, the studio reserves the right to refuse service. *

Yes

I acknowledge that photos or videos of my tattoo may be taken and shared by the studio for portfolio, educational, or marketing purposes. I understand and agree that I will not raise any legal or social objections regarding the use of such media. *

Yes

I confirm that I have asked all questions, and I am satisfied with the answers provided. *

Yes

I release the artist and studio from any claims, damages, or expenses related to my tattoo procedure and its outcome. *

Yes

Age & Minor Consent

Legal Guardian Full Name: *

Legal Guardian Phone: *

Legal Guardian Date Of Birth *

Driver's License/ID Photo *

If you are the guardian, please upload your photo ID.

Legal Guardian Signature: *

Clear

Signature: *

Clear

By checking this box, I consent to receive transactional communications related to my appointments, orders, or services. These may include reminders, confirmations, and account notifications. Message frequency will vary. Standard message and data rates may apply. Reply HELP for assistance or STOP to opt out at any time.

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