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Please fill out the following health declaration form fully before services can be rendered. Submissions are valid up to 24 hours prior to your tattoo.

NOTE: Upload a photo of the front & back of your state issued drivers license or ID here, but you will also be required to present it in person at the time of your tattoo session.

Upload FRONT of Your Driver's License
Upload BACK of Your Driver's License

Thanks for submitting!

-               FOR SHOP USE ONLY               -

Please don't fill anything out below this line



We cannot tattoo without it
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