Howdy Honey POp-up Tattoo Consent & Release Form Date: Client Full Name: Phone: Email: Address: City, State, ZIP: Date of Birth: Age: Upload Driver’s License (JPG, PNG, or PDF): 3. Health & Medical Disclosure I confirm that I am not under the influence of alcohol or drugs, do not have conditions affecting healing, am not pregnant/nursing, and understand aftercare instructions. 4. Waiver & Release I release the tattoo artist and studio from liability and accept full responsibility for outcomes. 5. Photo & Media Release I consent to photos/videos for promotional purposes. 6. Client Confirmation I confirm I am 18+, have provided valid ID, and have read and understood this consent form. Have you ever been diagnosed with a bloodborne disease such as Hepatitis B, Hepatitis C, or HIV/AIDS? No Yes Do you currently have any open wounds, sores, or rashes near the area to be tattooed? No Yes Are you currently under a doctor’s care for any infectious disease or condition that may affect healing? No Yes Have you had a recent illness, infection, or fever within the past 2 weeks? No Yes Do you have any bleeding disorders (such as hemophilia) or take medications that thin your blood? No Yes If yes, please list details below (medication names, diagnosis): Client Signature (Type Full Name):
