Промени Јазик Tattoo and Piercing Consent Form Name & Surname ID Number Date of Birth Phone Address City Do you have HIV, AIDS, Hepatitis (any strain),or any other blood-borne illness? YesNo Do you have high blood pressure, diabetes, bleeding disorders, heart problems, cold/flu ...? YesNo If YES, what? Are you pregnant?YesNo Do you have Allergies?YesNo If YES, what? Is this your first tattoo?YesNo Are you afraid of needles?YesNo Have you eaten in the past 2 hours? (Should be yes)YesNo Have you ever fainted?YesNo Are you currently (meaning today) using any recreational drugs (including weed)?YesNo How did you hear about the Studio? Notes/Comments regarding any questions from above? Date I confirm that entered data are correct and I agree to be processed for performing the services I require
