General Inquiry Form

Your First and Last name *

Birth Date *

Current Age *

Your Email Address *

Please confirm the date and time of your appointment *

Location on your body of your tattoo/session today. If you're not sure the location please list those you are considering. *

Cell Phone number *

Your Preferred Pronouns

Your Mailing Address *

PRICING AND BUDGET: Have you been quoted for this tattoo? If so, what was the provided estimate or rough price range? Answer "no" if it hasn't been discussed. Please note here if you would like to discuss. *We ask this to make sure you have a chance to remind your artist of a certain cap you might have in mind as it may relate to final choices/options today and session length you both want to do, to make sure we are all on the same page. Our final session prices USUALLY work out in the $150-200/hr price range but it could be a little more or a little less depending on a VARIETY of factors like skin quality/your age, location, size, style of tattooing, color or no color, your pain management/ability to sit still, and the approach of the project due to the scale of the project. Any of these factors can be DISCUSSED FURTHER with your artist but it is YOUR RESPONSIBILITY to bring it up here or verbally, preferably BEFORE you start tattooing, if you would like more detailed estimate or explanations of pricing. Keep in mind if you have booked a full day session that is typically 4-6 hours in duration. Thank you for trusting us, we pledge to honor your best interests, executing every piece to the best of our ability to fully warrant both your monetary investment, and both you and our valuable time.* *

How did you hear about our establishment?

Do you permit your artist to post photos of your tattoo on their online portfolio / instagram? If so please provide your @ handle for tagging. If not ok to post or tag please note below AND verbally remind your artist. *

Have you eaten within the last 4 hours? *

Have you had any alcoholic beverages in the last 8 hours? *

Do you have any history of epilepsy, seizures, fainting or narcolepsy? (if yes, please specify) *

Do you have any history of hemophilia or excessive bleeding? *

Yes

No

Have you taken any medications that thin the blood and/or interfere with blood clotting (including aspirin & ibuprofen) within the last 24 hours? (if so, please specify) *

Do you have any history of allergies or adverse reactions to any foods, pigments, dyes, disinfectants, metals or other sensitivities related to tattoo procedures? (if so, please list below). Please note here and mention verbally to your artist if you have specific allergies/have had reactions to the following: LATEX, ADHESIVE, COCONUT OIL, LAVENDER, ALOE, A TATTOO INK COLOR *

Are you pregnant or Breast Feeding? *

Yes

No

Maybe

Not Applicable

Do you have ANY CONDITIONS which may affect BLOOD CIRCULATION, ABILITY TO HEAL, OR FIGHT INFECTION? (If yes, please specify) *

Please provide an emergency contact name AND number below *

If you are a minor please provide the first and last name of the guardian accompanying you. Both guardian and client will be asked to provide photo ID. Different last names require additional identification.

I acknowledge that the sterilization method used was explained to my full satisfaction. I had the opportunity to ask questions regarding this procedure. I understand that all equipment used during the procedure will be opened in front of me and we will use regulated sharps containers for disposal. Both written (available in printed version or on our app) and verbal aftercare instructions will be provided to me. *

Please take a picture of your ID and upload. If military ID please include photo of the back with birthdate. If minor client we need both photo IDS. If different last names we also need social security card or birth certificate (upload additional pictures on following questions-one pic per question where it says "Add filer"). Please also present to desk assistant.

Use this if you need to upload additional ID/document pictures.

Current Mask Policy. Per the latest executive order (79) and our regulatory board (VA DPOR, DOLI), our type of business is now able to make a choice whether or not to require mask wearing in our establishment for fully vaccinated individuals. We are choosing to allow these individuals the choice to remove their mask under certain circumstances. We are still requiring masks for everyone upon entry and in common areas (lobby, restroom, on breaks, etc). If you are fully vaccinated and would like to request to take off your mask during your service after you have been settled into your artist’s area, please certify to the following: *** Our business is allowed by law to require any individual to wear a mask upon entry, refuse service for not wearing a mask, and to require proof of vaccination in order to remove their mask during service. Please see executive order 79 and https://www.dpor.virginia.gov/COVID-19/ for reference. Our current mask guidelines are also contingent on our comfortability with local threat levels and new case numbers as provided by the CDC, which are currently on “green” or low threat level, but we will be monitoring continually***

*

I have not been sick or shown any Covid related symptoms in the last 10 days

I have not been exposed to anyone with Covid symptoms or anyone that could possibly or tested positive for Covid in the last 10 days

I have not traveled out of the country in the last 10 days

I will show my vaccination card to the desk assistant that shows I am fully vaccinated. We will not make a copy

I will notify my artist and check in with them before removing my mask, and will keep it handy in case they request to put it back on for any reason, go on break, use restroom, etc

I would not like to request to remove my mask

General Tattoo Release Form Information

TO PERMIT Figure8InkStudios, LLC to tattoo me in consideration of its doing so, I hereby release Figure8InkStudios & 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 Figure8Ink when performing a tattoo does not act in the capacity of a medical professional. The suggestions made by any employee or agent of Figure8Ink are just suggestions. They are not to be construed or substituted for advice from a medical professional. I AFFIRM TO THE BEST OF MY KNOWLEDGE that I & members of my immediate family (&/or household), are not currently sick with Covid-19 & in the last 30 days: have not been sick, have not been in contact with anyone that is sick, & have not travelled outside of the country. I UNDERSTAND Figure8Ink 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 impossible to completely eliminate that risk. I UNDERSTAND I WILL BE TATTOOED using appropriate sterile instruments & aseptic technique. To ensure proper healing of my tattoo/piercing & to prevent contracting any type of infection or illness (including, but not limited to MRSA & COVID-19), 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 have read & fully 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 re-enter your full name here as an electronic signature, confirming that you've read and completed this form: 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 except 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. *

New Client/ Tattoos/ Sabrina

General Tattoo Release Form Information

Thank you for taking the time to fill out our electronic intake form!