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TATTOO FORM

PLEASE FILL OUT THIS FORM PRIOR TO YOUR APPOINTMENT. 

THIS FORM IS ONLY TO BE FILLED OUT ONCE YOU HAVE AN APPOINTMENT BOOKED OR ARE ATTENDING ONE OF OUR EVENTS.

FOR TATTOOING AT XO BEAUTY AND TATTOO CO.


Please read and fill out this “Disclosure & Release Agreement” completely, making certain that you understand all information provided, and that your information is correct.


You have the right to be informed so that you make the decision whether or not to undergo the procedure, after knowing the risks and hazards involved. This disclosure is simply an effort to make you better informed so you may give, or withhold, your consent to the procedure.


Please Read and INITIAL the statements below to indicate:

I understand the following completely:

BIRTHDAY
Month
Day
Year
HOW DID YOU HEAR ABOUT XO
ARTIST
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MON-FRI: 8:30AM-6PM

SAT: 8:30AM-3PM

BY APPOINTMENT ONLY

TEXT (772) 332-5668

EMAIL XOBEAUTYANDTATTOO@GMAIL.COM

4131 US-1
FORT PIERCE, FL 34982

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