NAME *

First Name

Last Name

LEGAL AGE CONFIRMATION *

The legal age for a tattoo in the UK is 18 years old. Without exception. Ticking this box you waiver any rights to legal action to be taken against Kings Ship Tattoo if it is proven that you have acted falsely in this regard.

I confirm I am 18 years and over

MEDICAL DISCLOSURE

There are a few medical condition that it's important for us to be aware of, we want to keep you safe and well cared for during your appointment. Please be honest.

Immunocompromised conditions: Lupus, Diabetes, Cancer, radiation therapy, HIV/AIDS, Hepatitis, any other immunological diseases? *

Yes

No

Hemophilla, Anemia and other blood clotting disorders? *

Yes

No

Fibrosis and other scarring disorders? *

Yes

No

Heart condition? *

Yes

No

Epilepsy? *

Yes

No

High/low blood pressure that may cause dizziness? *

Yes

No

Allergies that may cause a skin reaction? *

Yes

No

Are you currently pregnant or still breast feeding? *

Yes

No

PERMISSION TO TAKE PHOTOS *

We may take photos or videos of your tattoo to share on social media or on our website as they are integral to your artists career, we want to make sure that you are happy for us to do this.

I'm OK with this

No thank you