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Tattoo Being Created

CONSENT FOR MINORS

I,

attest that I am the legal guardian of

who is

years of age, and that I give him/her consent to have the following procedure(s).

I FURTHER ATTEST THAT I HAVE BEEN INFORMED OF THE POSSIBLE RISK INVOLVED WITH THIS PROCEDURE AND OF ITS PERFORMANCE BY THE UNDERSIGNED INDIVIDUAL PERFORMING THE PROCEDURE OR BY AN EMPLOYEE OF THE FACILITY IN WHICH THE PROCEDURE IS PERFORMED. NEXT LEVEL TATTOO AND/OR THE EMPLOYEES THERE IN ARE NOT LIABLE.

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Multi-line address
As a minor, I attest to this procedure:
Yes
No
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Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
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