First-Time Tattoo Client Form - The Tattoo Valley

Personal Information

First Name *

Surname *

Date of Birth *

Phone Number *

Email Address *

Emergency Contact Name *

Emergency Contact Phone *

Referral Code (Optional) If someone referred you to The Tattoo Valley, enter their referral code here so they can earn Ink Points!

Health & Safety Information

I have eaten within the last 4 hours *

I have arranged payment for this service *

Critical Health Disclosure: It is vital that you inform the artist of any health conditions. If you proceed with any health risks, the artist, piercer, and studio cannot be held responsible for complications.

I have flu symptoms or feel unwell

I have bloodborne pathogens (HIV, Hepatitis, etc.)

I am under the influence of alcohol or drugs

Medical Conditions & Medications

Legal Agreements & Consent

I waive liability and understand that tattoos/piercings carry risks

I understand aftercare instructions and will follow them diligently

I accept all risks associated with this procedure

All my questions have been answered to my satisfaction

I confirm spelling and design are correct

I understand color variations may occur during healing

I understand this is permanent and removal is expensive

I consent to photos being taken for portfolio purposes
By consenting, you acknowledge that photos may be used for marketing and portfolio purposes. The studio cannot be held responsible for any personal or professional consequences from photo usage.

Session Information

Select Your Artist * Select the artist who will be working with you today.

Session Price (R) * Enter the agreed price for your session.

Guardian Consent (Required for Minors)

Guardian Information Required: Client is under 18 years old.

Guardian Full Name *

Guardian Phone *

Guardian Email *

Relationship *

Guardian Digital Signature *

I consent to this procedure for my minor child/ward

Signature & Date

Digital Signature *

Visit Date *