I acknowledge by submitting this form that I am at least eighteen (18) years of age and that I have been given the full opportunity to ask any and all questions regarding the tattoo and/or piercing procedure. All of my questions have been answered to my full satisfaction, and I voluntarily consent to the procedure described below.
I specifically acknowledge and agree to the following:
By submitting this form, I certify that I am at least 18 years of age and agree to all terms above.
Please bring a valid Photo ID at time of procedure.