Consent form


Prior to your tattoo appointment, our consent form will be filled before the tattoo is placed, you will receive a copy (a copy is always available for inspection in our shop).
With this we give you an explanation and insight into getting a tattoo and you must explain the following before the tattoo is placed:


  • By signing the form you declare that you have taken note of the information on our website regarding the risks to your health when getting tattoos.
  • We declare that we are a 100% vegan tattoo shop.
  • The tattoo is placed according to the regulations in the Royal Decree regarding tattoos and piercings.
  • A tattoo is permanent, so you can always ask for a reflection period before the procedure.


By the means of this form you declare the following:


  • The choice to have a tattoo was made deliberately and of my own free will.
  • From the day before and during the treatment, I was not under the influence of alcohol and/or drugs.
  • I have been informed about the risks that can arise as a result of getting a tattoo, such as infections, scarring and allergic reactions.
  • I am not currently taking any anticoagulants and have had no vaccinations until a week before the treatment.
  • I currently have no discolorations, swellings, bumps or any other form of irritation on my body and consider myself healthy enough to get this tattoo.


If your tattoo is used to camouflage a radiation or surgery scar, first discuss this with the doctor who treated you or who monitors you.

If you are being treated by a dermatologist or are in doubt about a skin problem, consult them before you decide to get a tattoo.


In the situations above , you must provide us with a certificate from the doctor or dermatologist stating it is safe for you to get a tattoo.


The following information is requested from you by us and filled in truthfully:
- Are you currently being treated by a doctor?
- Are you currently taking any medication?
- Are you allergic to anything?
- Do you have an immune disorder?
- Cardiovascular abnormalities?
- Are you pregnant or are you breast-feeding? (Pregnant women are not tattooed by us! Partly due to an increased risk of infections.)

Applying a tattoo is strongly discouraged if one or more times "yes" applies.

Design, Placement and Ink:

(Your design is filled in, including its location and which ink is used. The brand, name, lot code and best-before date are indicated).


Signed by:

The undersigned, (name): ............................................ .................................................. ........................


Signature : ................................................ .................................................. ............................................

Date: __/__/____


In the event of an infection, allergy, etc. that arise after the treatment, we advise you to consult a doctor.

Toestemmingsformulier


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