Welcome to a Luxury Tattoo Experience

Name *

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you have any of the following medical conditions? *

Select all that apply. This information is crucial for your safety.

Diabetes

Epilepsy

Heart conditions

Hepatitis

HIV/ AIDS

Hemophilia

Skin Conditions (Eczema, Psoriasis)

Currently pregnant or nursing

Other (Please specify)

None

Do you have any allergies? *

Select all that apply. Inform us of any sensitivities.

Latex

Specific dyes/ inks (please specify)

Adhesive tapes

Isopropyl alcohol

Other (please specify

None

Consent *

Please check the box of the following pertaining to you below

I acknowledge that I have voluntarily requested tattooing services from Yss Art Studios. I have been informed of the nature of the tattooing process, including potential risks such as pain, infection, scarring, and allergic reactions. I understand that all needles and equipment used are sterile and single- use I confirm that I am over the age of 18 (or have guardian consent if under 18), not under the influence of alcohol or drugs, and have provided accurate medical information. I release InkSafe Pro Studio from any liability related to my tattoo, except in cases of negligence. I consent to the application of the tattoo described above and agree to follow all aftercare instructions provided. I acknowledge that I am receiving a tattoo and have been given the opportunity to ask any questions about obtaining a tattoo from YSS Art studios, and all my questions have been answered to my satisfaction. Obtaining the tattoo is my choice alone and I understand it will result in a permanent change to my appearance and the tattoo takes up to thirty days to heal and that also the brightness of the healed tattoo depends on the pigment of my skin. I understand the artist cannot determine whether I will have an allergic reaction to my tattoo.