Consent Form

    By electronically signing this form, I acknowledge that I am completing it prior to my visit to Tip Top Tattoo, LLC as part of the Studio’s pre-screening and compliance process. I understand this document is a legally binding agreement under the Florida Uniform Electronic Transactions Act (Fla. Stat. §668.50) and carries the same legal effect as a handwritten signature. I confirm my intent to obtain a tattoo and/or piercing, that I am of sound mind and legal age, and that I will have full opportunity to ask questions before any procedure begins.

    I certify that my government-issued ID is valid and accurately represents my age and identity. I confirm that I have no medical conditions that would prevent me from safely receiving a tattoo or piercing, and that I am not pregnant or nursing. I understand that tattooing and piercing involve breaking the skin and carry risks such as infection, allergic reaction, scarring, migration, or fading due to individual healing factors. I accept full responsibility for my aftercare and understand results cannot be guaranteed. I will verify spelling, design, and placement before the procedure and agree to pay for all services rendered, with touch-ups only included if agreed upon and aftercare was properly followed.

    I release and hold harmless Tip Top Tattoo, LLC, its owners, artists, piercers, and employees from all claims, damages, or liabilities arising from the procedure, except in cases of gross negligence or misconduct. I authorize the Studio to collect and securely store my information, identification, and procedure records electronically for business and legal purposes. I understand that minors require parental consent per Florida law. This consent and release are governed by Florida law, remain in effect indefinitely, and are signed voluntarily and without coercion.

    List any allergies or illness you have, including allergies to Latex, medications and allergies to any topical solutions used by this tattoo/body piercing facility:

    if signing for somebody under the age of 18 fill out lines below :
    YOU HAVE COMPLETED THE INFORMATION WE NEED FROM YOU. WE WILL DO THE REST BELOW THIS LINE. THANK YOU!

    To be completed by staff:

    Artist Name: ______________

    Type Of Aftercare: ______________

    Amount $: ______________

    Payment Method : ______________

    Did customer have any complications: yes or no (if yes explain on back of form)

    Customer Initial Visit: Body Part Pierced or Tattooed? ________________________________

    Jewelry or design of tattoo: ____________________________________

    (Gauge and Type of Jewelry): ________________________

    (print) Artist / Piercer: _____________________________

    Date: _____ / _____ / _______

    (Signature) Artist / Piercer: ___________________________