DIGITAL CONSENT AND AFTERCARE

We want you to feel safe and comfortable – before, during, and after your session at Black Moon Tattoos. Because of this, it’s important you are aware of the risks involved with getting a tattoo. These can include fainting, dizziness, and redness and swelling of the tattooed area, as well risks associated with improper care of your tattoo whilst it is healing, such as:

Localised infections (e.g. cellulitis)
Blood infections (e.g. sepsis)
Fading or scarring

If you have any questions, concerns, or things of note to highlight to your artist, please do not hesitate to discuss this with them before you begin your session.

PLEASE READ ALL SECTIONS OF THIS FORM CAREFULLY AND COMPLETE IT WITH HONESTY

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YOUR INFORMATION

First Name

Last Name

Date Of Birth (DD/MM/YYYY)

Phone

Address

Preferred Pronouns (she/her/he/him/they/them)

What current and valid I.D. did you bring?

If you selected other, please specify.

Who is tattooing you today?

Which part of your body are you getting tattooed today?

YOUR EMERGENCY CONTACT

Full Name of Next of Kin

Phone of Next of Kin

Address of Doctor

YOUR HEALTH

The following questions relate to your health and are very important for us ensuring your comfort and safety today. Please answer them with accuracy and truth.

Have you eaten a decent meal in the last two hours?

Do you have (or suspect you have) any of the following conditions? Select all that apply.(required)

Heart condition, e.g. Heart Disease, Angina, etc. Seizures, e.g. Epilepsy, etc. Fainting/Light-headedness High/Low Blood Pressure Blood clotting disorder, e.g. Haemophilia, etc. Blood-borne virus, e.g. HIV, Hepatitis B/C/D, etc. Diabetes None of the above

Have you ever suffered with any of the following conditions? Select all that apply.(required)

Major skin infection, e.g. Cellulitis Major blood infection, e.g. Sepsis Issues with skin healing, e.g. Eczema, Psoriasis, Impetigo None of the above

Are you currently pregnant or breastfeeding?

Are you currently under the influence of alcohol or drugs?

Are you aware of anything you may have a negative allergic reaction to, e.g. plasters, creams, metals, dye pigments, shellfish, latex, etc.?

Do you currently take any of the following types of medication? Select all that apply.(required)

Immuno-suppressant medication, e.g. steroids Anti-coagulant medication, e.g. Warfarin or high-dose Aspirin None of the above

In the last 14 days, have you been unwell in any way, e.g. cold, flu or stomach bugs?

If you answered yes or selected any of the conditions above, please provide more information, e.g. the condition / allergen / medication, how it is controlled / medicated, etc.

Please indicate any other prescribed or over-the-counter medications you take regularly which you have not already indicated on this form.

YOUR AFTERCARE

A tattoo is an open wound which is why we always take great care to thoroughly clean your skin with medical-grade antiseptic and antibacterial products before, during, and after tattooing. Once complete, we clean your tattoo again with antibacterial wound wash and apply a sterile dressing to the area. This process significantly minimises the chances of any bacteria being transferred to your tattoo during the application process.

Following your tattoo session, the first two days of the healing process are extremely important. The following tips are important for preventing issues and ensuring your tattoo heals as it should:

Clean your tattoo twice a day, and night. You should also clean it if you think it has been exposed to dirt, bacteria, or pet hair.
Keep your tattoo clean using antibacterial soap and hot, running water, before patting it dry with clean kitchen roll or allowing to air dry.
Do not apply aftercare cream when wet and use it sparingly – too dry is better than too wet.
Wear clean, loose-fitting clothing over your tattoo until healed.
Remember that every tattoo and every person’s skin is different – whilst friends and family may give you advice or share opinions, please speak with your artist or contact the Black Moon studio if you have any questions or concerns. Following our aftercare is part of the agreement you make to take care of your tattoo.

Once you leave the shop, the tattoo and its aftercare become your responsibility.

Black Moon Tattoos and its artists cannot be held responsible for infections or poor healing which arise as a result of improper care.

To help you maintain proper care after you leave, we’ve created a comprehensive aftercare pack which includes detailed guidance and cleaning materials. When combined with one of our antibacterial YAYO balms (available in a selection of scents), you’ll be all set in the best possible way to keep your new tattoo healthy and beautiful.

Please indicate if you would like to purchase aftercare products(required)

Aftercare pack £5 YAYO balm £5 None of the above

TATTOO CONSENT

In completing this section, you are providing consent to be tattooed today and indicating a complete understanding of the risks involved, as outlined in this form.

I am aware of the implications and possible complications of poor aftercare, such as infection, localised pain, swelling, fading or scarring.

I understand that a tattoo is an open wound and it is my responsibility to keep it clean and follow appropriate aftercare to prevent such complications arising.

I understand my artist will explain aftercare to me at the end of my session today, that I can request a free written aftercare booklet/sheet to take away with me, and that I agree it is my responsibility to read and follow the instructions on this.

I understand that Black Moon will do everything possible to ensure my tattoo is clean, free of bacteria, and wrapped safely in a sterile dressing before I leave.

I understand that Black Moon and its artists cannot be held responsible for any infection that could enter my body via the tattoo site.

I confirm I am over the age of consent for this procedure (18 years).

Please type your name to indicate you have READ, UNDERSTOOD AND CONSENT to this agreement.

With your permission, we may take photos or videos of tattoo work a Black Moon artist does with you. In these instances, do you consent to Black Moon and/or the artist using imagery of the artwork for marketing purposes, e.g. email campaigns, social media, etc.?

If you answered yes and would like us to tag you in these posts on social media, please provide your @ Instagram handle.

Please tell us how we can share occasional news and updates with you.(required)

Email SMS None of the above