Collecting this information is a condition of our licence and insurance.

Any personal data collected will be stored securely and held in accordance with GDPR regulations.

Name

First Name

Last Name

Address

Phone number

Email

Date of Birth

Age

Emergency contact name and phone number

Text

Checkbox

I am over 18 years old.

I am not under the influence of alcohol or drugs.

I do not have acne, freckles, moles or sunburn in the area to be tattooed that might be agitated by the tattoo process

I acknowledge that I am not pregnant

I acknowledge that I am free of communicable disease