COVID-19 Consent Form Studio

COVID-19 Pandemic Red’s Tattoo Parlour Ltd Consent Form

Please take a moment to complete our consent form.
By submitting the form below you agree to knowingly and willingly consent to have tattoo/piercing/tattoo removal service during the COVID-19 pandemic.
We reserve the right to refuse service if this form is not submitted. Thank you.

• Name*
  First Last
• I understand the COVID-19 virus has a long incubation period during which carriers of the virus may not show symptoms and still be highly contagious. It is impossible to determine who has it and who does not, given the current limits in virus testing.*
  I understand the COVID-19 virus has a long incubation period during which carriers of the virus may not show symptoms and still be highly contagious. It is impossible to determine who has it and who does not, given the current limits in virus testing.
  Yes
• I confirm that I am not presenting any of the following symptoms of COVID-19 listed below: • Temperature above 37.05 degrees • Shortness of breath • Loss of sense of taste or smell • Dry cough • Sore Throat*
  I confirm that I am not presenting any of the following symptoms of COVID-19 listed below:
  • Temperature above 37.05 degrees
  • Shortness of breath
  • Loss of sense of taste or smell
  • Dry cough
  • Sore Throat
  I Am Not Presenting Symptoms
• I understand that due to the frequency of visits of other clients, the characteristics of the virus, and the characteristics of tattoo services, that I have an elevated risk of contracting the virus simply by being in the studio.*
  I understand that due to the frequency of visits of other clients, the characteristics of the virus, and the characteristics of tattoo services, that I have an elevated risk of contracting the virus simply by being in the studio.
  
  Yes
• I have not been advised that I am clinically vulnerable and must shield*
  • I confirm
• I confirm that I have not been around anyone with these symptoms in the past 14 days.*
  I confirm that I have not been around anyone with these symptoms in the past 14 days.
  
  Yes
• I do not live with anyone who is sick or quarantined.*
  I do not live with anyone who is sick or quarantined.
  
  I Do Not
• To prevent the spread of contagious viruses and to help protect each other, I understand that I will have to follow the studio’s strict guidelines.*
  To prevent the spread of contagious viruses and to help protect each other, I understand that I will have to follow the studio’s strict guidelines.
  
  Yes
• I understand that air travel significantly increases my risk of contracting and transmitting the COVID-19 virus.*
  I understand that air travel significantly increases my risk of contracting and transmitting the COVID-19 virus.
  
  Yes
• Date*
  Please enter today's date.
  DD slash MM slash YYYY
• Digital Signature*
  Please Sign Above. By Signing and submitting, this serves as a Digital Signature and verifies that you fully agree to our safety policy for our services. This digital signature holds the same authority as a handwritten one. Thank you.

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