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Retainer Consent Form

Let us do this part
Today's Date:
Sat Nov 23 2024 03:03
Practitioner:*
:
Appointment Retainer Consent Form
Please read and answer
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I Confirm I have Paid a Retainer to Cora Fick Tattoo
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I understand my appointment is only valid with a retainer
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I understand my retainer will not be deducted from the price of the service if I reschedule 24 hours prior to my appointment, no/call no-show, or cancel.
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I am 18 years of age or older and have a government-issued photo ID to prove it.
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I do not have any contagious illnesses, blood-borne pathogens, diabetes, or any other ailments/conditions that can affect the process of tattooing. Or, I have informed my artist of my situation and received clearance from a physician to get a tattoo.
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I understand a retainer is required to schedule.
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I acknowledge the retainer is non-refundable.
If any provision, section, subsection, clause or phrase of this release is found to be unenforceable or invalid, that portion shall be severed from this contract. The remainder of this contract will then be construed as though the unenforceable portion had never been contained in this document.
Client Information
I hereby declare that I am of legal age (with valid proof of age) and am competent to sign this Agreement.
Legal Name:*
Pronoun:
Chosen name:
Address:
Postcode:
Date of birth:*
Phone #:*
Email:*
Signature:*


Photo ID*
Please take photo(s) of your government issued photo IDs and related paperwork.