Medical History / Consent and Release Form

Please check if you have any of the conditions list below.

Please list any known Allergies or Medications that you are currently taking

Do you take any prophylactic antibiotics for any reason?

Are there any known medical problems that may affect you getting a tattoo/piercing?

Consent and Release Form

I hereby certify that to the best of my knowledge this information is correct.

I have been given a chance to ask questions about my tattoo/piercing and they've been answered to my satisfaction.

I certify that I am at least 18 years of age, or in the case of a minor for piercing, I have presented my legal guardian.

I am not under the influence of drugs or alcohol.

I understand there is a possibility of an infection.

I understand that a tattoo is permanent.

I agree to allow for artist interpretation.

I agree to follow all care instructions given to me by American Classic Tattoo regarding proper care and healing of my tattoo/piercing.

I understand there is a chance I may become dizzy or lightheaded during the process. If this occurs please notify us immediately.

I hereby release American Classic Tattoo and its employees of all responsibility and liability for said tattoo and piercing.

There are no refunds.

I understand that my tattoo or piercing is guaranteed unless otherwise stated by American Classic Tattoo.

Under 18 piercing consent, all blanks must be filled in and proper ID must be shown by BOTH parties prior to the piercing. Parent or Legal Guardian must be present to receive a piercing on premises.