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FOR THE SAFETY OF OUR ARTISTS AND STAFF, ANY PERSON WHO IS OR COULD BE POSITIVE FOR ANY OF THE FOLLOWING BLOODBORNE ILLNESSES MUST DISCLOSE VERBALLY TO YOUR ARTIST:

HIV, HEP A, HEP B, HEP C, TB OR SYPHILIS

PERSONS WITH POSSIBLE EXPOSURE TO THESE ILLNESSES MAY GET TATTOOED WITH ADDITIONAL CAUTIONS THAT YOUR ARTIST WILL HANDLE WITHOUT ADDITIONAL CHARGE.

PLEASE ADVISE SO WE CAN KEEP EVERYONE SAFE. 

I am 18 years of age or older

I do not have a heart condition, epilepsy, or physical or mental condition or impairment that may result in harm as a resulting of obtaining a tattoo. 

I have not tested positive for hepatitis or HIV

I am not under the influence of alcohol or drugs

I agree to following any and all instructions concerning the care of my tattoo while it's healing. 

I understand that if my skin is dark, some colors may not appear as bright as on lighter skin. 

Being of sound mind and body, I hereby release any and all liability. I hereby release any and all persons representing Sailor's Den Tattoo from all liability. I also understand that any photos taken of my tattoo shall be the property of Sailor's Den Tattoo. I accept any and all responsibility for consequences that may stem from my decision to obtain a tattoo from The Sailor's Den. I represent in warranty to Sailor's Den Tattoo and it's staff that I agree to the above conditions and that the following information that I provide is true and correct. 


First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Tattoo Location & Description

Location and description of tattoo *
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*

Phone*
Second Participant's Date of Birth*
Second Participant's Tattoo Location & Description

Location and description of tattoo *
Third Participant's Name

First Name*

Last Name*

Phone*
Third Participant's Date of Birth*
Third Participant's Tattoo Location & Description

Location and description of tattoo *
Fourth Participant's Name

First Name*

Last Name*

Phone*
Fourth Participant's Date of Birth*
Fourth Participant's Tattoo Location & Description

Location and description of tattoo *
Fifth Participant's Name

First Name*

Last Name*

Phone*
Fifth Participant's Date of Birth*
Fifth Participant's Tattoo Location & Description

Location and description of tattoo *
Sixth Participant's Name

First Name*

Last Name*

Phone*
Sixth Participant's Date of Birth*
Sixth Participant's Tattoo Location & Description

Location and description of tattoo *
Seventh Participant's Name

First Name*

Last Name*

Phone*
Seventh Participant's Date of Birth*
Seventh Participant's Tattoo Location & Description

Location and description of tattoo *
Eighth Participant's Name

First Name*

Last Name*

Phone*
Eighth Participant's Date of Birth*
Eighth Participant's Tattoo Location & Description

Location and description of tattoo *
Ninth Participant's Name

First Name*

Last Name*

Phone*
Ninth Participant's Date of Birth*
Ninth Participant's Tattoo Location & Description

Location and description of tattoo *
Tenth Participant's Name

First Name*

Last Name*

Phone*
Tenth Participant's Date of Birth*
Tenth Participant's Tattoo Location & Description

Location and description of tattoo *
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Parent or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Tattoo Location & Description

Location and description of tattoo *
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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