Intake Forms [TATTOO] - Figure 8 Ink

Tattoo Intake Form

Please click on the link below to complete your intake form before your next appointment. If you have any questions email, figure8ink@gmail.com or call us, (540) 710-0580!

Tattoo Artist

I am a...

Your First and Last name(Required)

First Last

Your Preferred Pronouns

Birth Date(Required)

Month

Day

Year

If you are a minor...(Required)

please provide the first and last name of the guardian accompanying you. Both guardian and client will be asked to provide photo ID.

Cell Phone number(Required)

Email(Required)

Opt-Out

Selecting this box will prevent you from receiving ANY text messages from Figure8Ink - including appointment reminders.

Do not contact me by text

Opt-Out

Selecting this box will prevent you from receiving marketing emails from Figure8Ink - we may still send you appointment reminders and other critical emails regarding your services.

Do not send me shop updates

Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Are you ok with taking/posting pictures of your tattoo/experience at Figure 8?(Required)

If it is not ok to tag you and/or take/post pictures of your tattoo please note here AND verbally tell your artist.

Yes, you can TAG me and/or take/post pictures of my tattoo.

No, you cannot TAG me and/or take/post pictures of my tattoo.

Instagram Handle

Please tell us your @handle so we TAG the right account!

Is this your first tattoo?(Required)

Yes

Yes, and I have extra questions/need extra discussion with my artist before we start

Location on your body of your tattoo/session today.(Required)

If you are not sure the location please list those you are considering. Please indicate left or right, upper/inner/lower etc as applicable.

Have you been quoted for this tattoo?

If so, what was the provided estimate or rough price range? Also, please note here if you would like to discuss pricing or budget. Final session prices are typically in the $150-200/hr price range. This is dependent on various factors (ie. location, aged or damaged skin, style of tattooing, color treatment, pain management, approach of the project ETC) Any of these factors can be discussed with your artist. It is your RESPONSIBILITY to note here or verbally BEFORE the tattoo begins.

Answer “ no “ or “ N/A “ if you do not wish to discuss pricing or budget.

No, it hasn't been discussed but I don't have questions/need to discuss

Yes, it has been discussed and I was quoted. I'll put the range I was given below. I don't need to discuss anything further.

I would like to discuss pricing further with my artist before we begin my tattoo

Quoted Price/Range(Required)

Have you had any alcoholic beverages in the last 8 hours?(Required)

Yes

Have you eaten something substantial within the last 4 hours?(Required)

Yes

Are you pregnant or Breast Feeding?(Required)

Yes

Maybe

Not Applicable

Do you have any history of hemophilia or excessive bleeding?(Required)

Yes

Maybe/Unsure

Have you taken any medications that thin the blood and/or interfere with blood clotting (including aspirin) within the last 24 hours?(Required)

Yes

Please specify(Required)

If you have a blood thinner prescription, have you talked to your doctor about procedures for getting tattooed?

Do you have ANY CONDITIONS/Immunodeficiency disorders which may affect BLOOD CIRCULATION, ABILITY TO HEAL, OR FIGHT INFECTION?(Required)

Yes

Please specify & explain(Required)

Do you have any history of allergies or adverse reactions to any foods, pigments, dyes, disinfectants, metals or other sensitivities related to tattoo procedures?(Required)

Yes

Please specify(Required)

Please note here AND mention verbally to your artist if you have specific allergies/have had reactions to the following: LATEX, NITRILE, ADHESIVE, COCONUT OIL, LAVENDER, ALOE, MANGO, WITCH HAZEL, A TATTOO INK COLOR

Please select the choice regarding your current health/exposure status.(Required)

If yes, please discuss situation with our manager before proceeding- we will go to another room to protect your privacy.

I have not been sick or shown any Covid or flu related symptoms in the last day or had a heavy exposure in my household. I, also, to my knowledge, am not infected with a blood borne pathogen such as Hepatitis, MRSA, or HIV/AIDS

I would like to discuss

Please provide an emergency contact name AND number(Required)

If you pass out and do not quickly fully revive, this person, and/or emergency medical assistance, may be called.

Name

Phone Number

Informed Consent(Required)

I understand I have the opportunity to ask questions regarding this procedure and sterilization methods.
I understand that all equipment used during the procedure will be opened in front of me and a regulated sharps containers will be used for disposal.
Both written (printed or on our app) and verbal aftercare instructions will be provided to me.

I understand that this information will be provided before, during and after my appointment, and that I am free to ask any questions throughout the process.

Touch Up Policy(Required)

The tattoo application and healing processes are variable. The need for small touch ups is common especially on color tattoos or large pieces. We encourage you to take advantage of your first touch up within a year of your tattoo if necessary, as it is free of charge. Touch ups might be utilized in the event of minor fallout, a few faded spots in linework, or small issues with a specific pigment.

However it is important to note that your need for major touch ups may be dependent on aftercare choices, and inherent characteristics of high challenge areas (for example, full color/solid black/coverup/scar work, etc on the ditch or top of the foot). "First touch up free within year" except in the case of aftercare factors outside of the tattooer’s control (ie. sunburn, picking, cellulitis, ink allergy, ingrown hairs, major scrapes or scratches) that would result in a major touch up session, recoloring, or otherwise lengthy reworking.

In the case of a major touch up session (over 30 mins), and/or an additional touch up outside of the 1 year time frame, we do require a deposit which reserves an hour or more of tattooing as well as set up cost. Depending on the size of the session this can be a 25, 50, or 100 deposit. (The total cost for a major touch up varies per artist, ranging from only a small deposit charge to a discounted hourly rate.)

I have read and understand the Touchup policy

I would like to talk to my artist about this

Please review the following General Tattoo Release Form Information(Required)

TO PERMIT Figure 8 Ink Studios, LLC to tattoo me in consideration of its doing so, I hereby release Figure 8 Ink Studios & its employees and agents, from all manner of liabilities, claims, actions & demands, in law or in equity, which I or my heirs have or might have now or hereafter by reason of complying with my request to be tattooed. I FULLY UNDERSTAND THAT ANY EMPLOYEE OR AGENT of Figure 8 Ink Studious LLC, when performing a tattoo does not act in the capacity of a medical professional. The suggestions made by any employee or agent of Figure 8 Ink Studios LLC are just suggestions. They are not to be construed or substituted for advice from a medical professional. I UNDERSTAND Figure 8 Ink Studios LLC has put additional protective measures in place in order to further minimize the risk of exposure to any contamination, virus, or pathogen. I also understand it is impossible to completely eliminate that risk. I UNDERSTAND I WILL BE TATTOOED using appropriate sterile instruments & aseptic techniques. To ensure proper healing of my tattoo/piercing & to prevent contracting any type of infection or illness, I AGREE to stringently follow the aftercare suggestions outlined in the written tattoo aftercare instructions provided to me until the healing process is complete. I UNDERSTAND that a tattoo usually takes 2 weeks or longer to heal. I UNDERSTAND that getting tattooed/pierced does temporarily stress the body and the immune system, which could make me more susceptible to illness & infection. I ACCEPT THIS RISK. I WILLINGLY SUBMIT TO THESE PROCEDURES, with a full understanding of possible complications such as, but not limited to: infection, illness, allergic reaction, or rejection of the ink. I WILL RECEIVE A COPY OF TATTOO AFTERCARE INSTRUCTIONS (verbal, written, and/or electronic) which I will read & ask for clarification on any topics I don’t understand. I HEREBY ASSUME FULL RESPONSIBILITY FOR MY AFTERCARE & CLEANLINESS. I UNDERSTAND that by having this tattoo performed that I am making a permanent change to my body & no claims have or will be made regarding the ability to undo the permanent changes I am requesting be made. Please answer YES BELOW

Yes

Please take a picture of your ID and upload.(Required)

If military ID please include photo of the back with birthdate. If minor client we need BOTH photo IDs for the minor client AND the guardian listed at the top of this form. If different last names we also need social security card OR birth certificate.

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 256 MB.

Please re-enter your full name here as an electronic signature, confirming that you've read and completed this form(Required)

By my electronic signature below, I certify that I am healthy & 18 years of age or older, or am accompanied by a parent/guardian.. I understand that by providing false information or producing false documents, I am liable for prosecution. This document is identified as the form for your specific artist, PATRICIA ATKINSON, please accept this as her electronic signature with the understanding that she will read and understand your responses before tattooing. Please let us know if you would like a printed copy of this document. *

First Last

Please re-enter your full name here as an electronic signature, confirming that you've read and completed this form(Required)

By my electronic signature below, I certify that I am healthy & 18 years of age or older, or am accompanied by a parent/guardian.. I understand that by providing false information or producing false documents, I am liable for prosecution. This document is identified as the form for your specific artist, SABRINA ROBINSON, please accept this as her electronic signature with the understanding that she will read and understand your responses before tattooing. Please let us know if you would like a printed copy of this document. *

First Last

Please re-enter your full name here as an electronic signature, confirming that you've read and completed this form(Required)

By my electronic signature below, I certify that I am healthy & 18 years of age or older, or am accompanied by a parent/guardian.. I understand that by providing false information or producing false documents, I am liable for prosecution. This document is identified as the form for your specific artist, DANIELLA TURANO, please accept this as her electronic signature with the understanding that she will read and understand your responses before tattooing. Please let us know if you would like a printed copy of this document. *

First Last

Please re-enter your full name here as an electronic signature, confirming that you've read and completed this form(Required)

By my electronic signature below, I certify that I am healthy & 18 years of age or older, or am accompanied by a parent/guardian.. I understand that by providing false information or producing false documents, I am liable for prosecution. This document is identified as the form for your specific artist, MEGAN "FRANKIE" FLUES, please accept this as her electronic signature with the understanding that she will read and understand your responses before tattooing. Please let us know if you would like a printed copy of this document. *

First Last

Consent(Required)

By checking this box, I agree to receive text messages and emails from Figure 8 Ink at the contact information provided above, unless I have selected an opt-out checkbox. Messages may include appointment updates, booking confirmations, or occasional marketing communications. Message and data rates may apply. Reply STOP to opt out of texts or use the unsubscribe link in any email.

Tattoo Artist

I am a...

Your First and Last name(Required)

First Last

Your Preferred Pronouns

Birth Date(Required)

Month

Day

Year

If you are a minor...(Required)

please provide the first and last name of the guardian accompanying you. Both guardian and client will be asked to provide photo ID.

Cell Phone number(Required)

Email(Required)

Opt-Out

Selecting this box will prevent you from receiving ANY text messages from Figure8Ink - including appointment reminders.

Do not contact me by text

Opt-Out

Selecting this box will prevent you from receiving marketing emails from Figure8Ink - we may still send you appointment reminders and other critical emails regarding your services.

Do not send me shop updates

Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Are you ok with taking/posting pictures of your tattoo/experience at Figure 8?(Required)

If it is not ok to tag you and/or take/post pictures of your tattoo please note here AND verbally tell your artist.

Yes, you can TAG me and/or take/post pictures of my tattoo.

No, you cannot TAG me and/or take/post pictures of my tattoo.

Instagram Handle

Please tell us your @handle so we TAG the right account!

Is this your first tattoo?(Required)

Yes

Yes, and I have extra questions/need extra discussion with my artist before we start

Location on your body of your tattoo/session today.(Required)

If you are not sure the location please list those you are considering. Please indicate left or right, upper/inner/lower etc as applicable.

Have you been quoted for this tattoo?

No, it hasn't been discussed but I don't have questions/need to discuss

Yes, it has been discussed and I was quoted. I'll put the range I was given below. I don't need to discuss anything further.

I would like to discuss pricing further with my artist before we begin my tattoo

Quoted Price/Range(Required)

Have you had any alcoholic beverages in the last 8 hours?(Required)

Yes

Have you eaten something substantial within the last 4 hours?(Required)

Yes

Are you pregnant or Breast Feeding?(Required)

Yes

Maybe

Not Applicable

Do you have any history of hemophilia or excessive bleeding?(Required)

Yes

Maybe/Unsure

Have you taken any medications that thin the blood and/or interfere with blood clotting (including aspirin) within the last 24 hours?(Required)

Yes

Please specify(Required)

If you have a blood thinner prescription, have you talked to your doctor about procedures for getting tattooed?

Do you have ANY CONDITIONS/Immunodeficiency disorders which may affect BLOOD CIRCULATION, ABILITY TO HEAL, OR FIGHT INFECTION?(Required)

Yes

Please specify & explain(Required)

Do you have any history of allergies or adverse reactions to any foods, pigments, dyes, disinfectants, metals or other sensitivities related to tattoo procedures?(Required)

Yes

Please specify(Required)

Please select the choice regarding your current health/exposure status.(Required)

If yes, please discuss situation with our manager before proceeding- we will go to another room to protect your privacy.

I would like to discuss

Please provide an emergency contact name AND number(Required)

If you pass out and do not quickly fully revive, this person, and/or emergency medical assistance, may be called.

Name

Phone Number

Informed Consent(Required)

I understand that this information will be provided before, during and after my appointment, and that I am free to ask any questions throughout the process.

Touch Up Policy(Required)

I have read and understand the Touchup policy

I would like to talk to my artist about this

Please review the following General Tattoo Release Form Information(Required)

Yes

Please take a picture of your ID and upload.(Required)

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 256 MB.

Please re-enter your full name here as an electronic signature, confirming that you've read and completed this form(Required)

First Last

Please re-enter your full name here as an electronic signature, confirming that you've read and completed this form(Required)

By my electronic signature below, I certify that I am healthy & 18 years of age or older, or am accompanied by a parent/guardian.. I understand that by providing false information or producing false documents, I am liable for prosecution. This document is identified as the form for your specific artist, SABRINA ROBINSON, please accept this as her electronic signature with the understanding that she will read and understand your responses before tattooing. Please let us know if you would like a printed copy of this document. *

First Last

Please re-enter your full name here as an electronic signature, confirming that you've read and completed this form(Required)

By my electronic signature below, I certify that I am healthy & 18 years of age or older, or am accompanied by a parent/guardian.. I understand that by providing false information or producing false documents, I am liable for prosecution. This document is identified as the form for your specific artist, DANIELLA TURANO, please accept this as her electronic signature with the understanding that she will read and understand your responses before tattooing. Please let us know if you would like a printed copy of this document. *

First Last

Please re-enter your full name here as an electronic signature, confirming that you've read and completed this form(Required)

By my electronic signature below, I certify that I am healthy & 18 years of age or older, or am accompanied by a parent/guardian.. I understand that by providing false information or producing false documents, I am liable for prosecution. This document is identified as the form for your specific artist, MEGAN "FRANKIE" FLUES, please accept this as her electronic signature with the understanding that she will read and understand your responses before tattooing. Please let us know if you would like a printed copy of this document. *

First Last

Consent(Required)