top of page
Home
About
consultation
release form
aftercare
More
Use tab to navigate through the menu items.
First name
*
Last name
*
Email
*
I am, or over the age of 18
*
yes
no
I have no physical or mental medical conditions that would interfere with the procedure or my ability to consent to this procedure
*
yes
no, if no provide explanation of condition
explanation of conditions
I understand that this procedure is permanent, and carries the possibility of infection and complications
yes
I release the artist and studio from any and all liability due to any complications
yes
Submit
bottom of page