Stellar Door
TATTOOING & OTHER MAGIC

1222 S. 2nd Ave suite A Tumwater, WA 98512

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Home
Contact
News
Consent
CatCorner

Contactless Consent Form
please wait until you are in our parking lot to fill this out

Name*

Phone Number

Email Address*

Required Agreements*

In order to be tattooed we require that each of these agreements are in place. By checking each box, you agree that you are:

I am in the parking lot now waiting in my vehicle (no street parking please)18+ with valid ID.going to follow all instructions before, during, and after your tattoo.not under the influence of alcohol or drugs.not on antibiotics, or currently suffering an allergy attack.free of all contagious illness.not recently exposed to COVID-19.I am not suffering from cold or flu-like symptoms

Did you eat something solid about an hour ago? (Please include last meal time and contents!)*

***If you did not get a chance to eat something solid about an hour before your appointment, please let someone know immediately so that we can offer you a healthy snack! Getting tattooed on an empty stomach makes the tattoo hurt SO much more. It also makes fainting more likely and can effect your body and mind in an uncomfortable way where you may be easily disoriented.

Required Acknowledgments*

Please fill the out completely and let us know if you have any questions, or do not understand what a question is asking specifically. By checking each box, I acknowledge that:

I have truthfully represented myself as 18+.tattooing is a permanent change to my appearance.obtaining my tattoo is my choice alone.I consent to the application of the tattoo.I consent to any necessary actions or conduct of the associates.inks, dyes, and pigments have not been approved by the FDA.the consequences of using these products is still unknown.written and verbal aftercare instructions will be given to me.that variations in color and design may exist between the art and tattoo as applied to my body.there is a chance I might feel lightheaded, dizzy, or unwell before, during, or after my tattoo.I will immediately notify the practitioner in the event I feel hungry, dizzy, or faint during the procedure.I agree to follow all instructions concerning the care of my tattoo.any touch ups due to my own negligence will be done so at my own expense.

Legal Waiver to hold harmless*

Each of these agreements must be in place to sign the agreement

I agree to hold my artist harmlessI agree to hold Stellar Door, and Tower suites harmlessI agree to waive my legal right to any lawsuit that may arise from my procedureI agree to seek civil mediation to solve any grievance

I would like to be on the VIP list!

The VIP List is for ALL folks who would like to be notified of Sudden openings due to rescheduled appointments, upcoming deals, classes, news, etc. Your e-mail address will be added to our VIP list if you like! You can opt out at any time.

Yes, please put me on the VIP list!No thank you, I don't want to be informed of deals or news

not pregnant or nursing *

I am not pregnantI am not nursing

Digital Signature*

By completing and sending this electronic form, I agree to allow my typed name to be used as my signature one time only. I agree and acknowledge that this is my digital signature. If you agree, please type "I agree, signed (your name)"

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About

You're invited to experience art in a new way. Our mission is to continually heal the energy in ourselves and those around us by creating meaningful art, for all bodies, with compassion

Contact

Stellar Door is open by appointment only.

To make an appointment please visit:

stellardoor.as.me

e: [email protected]

a: 1222 S. 2nd ave SW suite A

Tumwater, WA, 98512

Stellar DoorTATTOOING & OTHER MAGIC

Contactless Consent Form***please wait until you are in our parking lot to fill this out ***

About

© Stellar Door Tattoo 2021

Contact

Stellar Door
TATTOOING & OTHER MAGIC

Contactless Consent Form
please wait until you are in our parking lot to fill this out