Southgate SG Tattoo & Piercing Studio

Consent Form

All fields marked with * are required and must be filled.















    Pre-Procedure Questionnaire






    Acknowledgment and Waiver

    01 I understand that this procedure is a permanent change to my skin and body.

    02 I allow my tattoo/piercing to be photographed and used for SG Studio's portfolio showcased.

    03 I agree that SG Studio does not have means of identifying if I am allergic to the elements or ingredients that will be used for my tattoo/piercing.

    04 I understand that I will need to take care of the tattoo/piercing by following the instructions given to me by a member of our team.

    05 I understand that I might get an infection if I don't follow the instructions given to me in regards to taking good care of my tattoo/piercing.

    06 I hold harmless and indemnify Southgate SG Tattoo & Piercing Studio against any claims, expenses, damages, and liabilities.

    07 I confirm that the information I provided in this document is accurate and true.