Tattoos By El Gallo

Consent & Release Form

Please complete this form before your appointment. All fields marked with an asterisk are required.

Client Information

Full Legal Name *

Date of Birth *Phone

Email *Street Address

CityStateZip

Emergency Contact NameEmergency Contact Phone

Tattoo Details

ArtistPlacement on BodyDescription of DesignMedical Conditions, Allergies, or Medications

Acknowledgments & Release

Read each statement carefully. Check the box to confirm.

I am at least 18 years of age and can provide valid government-issued photo identification upon request.I am not under the influence of alcohol, drugs, or any impairing substance.I am not pregnant or nursing.I do not have any medical condition (including but not limited to hemophilia, heart condition, diabetes, hepatitis, HIV, or skin disorder) that would prevent me from safely being tattooed, or I have disclosed such conditions above.I have received and understand the aftercare instructions, and I accept full responsibility for the care of my tattoo after leaving the studio.I understand that a tattoo is a permanent modification of my skin, and that removal, if desired later, may be costly, painful, and imperfect.I understand that healing varies by individual and that the final appearance of my tattoo — including color saturation, line clarity, and touch-up needs — is not guaranteed.I consent to photographs of my tattoo being used for portfolio, social media, and promotional purposes. (Optional)I hereby release, discharge, and hold harmless the artist, El Gallo, and the studio, its owners, employees, and agents from any and all claims, liabilities, damages, or causes of action arising from or related to this tattoo procedure.

Signature

By typing your full name below, you are signing this document electronically and agreeing that your electronic signature is the legal equivalent of a handwritten signature.

Typed Signature *Date *

A copy will be emailed directly to the shop.