PLEASE FILL OUT THIS QUESTIONAIRE AND WAIVER
ONLY IF YOU HAVE AN APPOINTMENT FOR A TATTOO
​AT GNOSTIC WITHIN THE NEXT 24 HOURS

REMINDER: When you come to Gnostic Tattoo for your appointment,
YOU MUST WEAR A MASK AT ALL TIMES. NO EXCEPTIONS.

PLEASE ARRIVE ON TIME, at the exact time of your appointment. Ring the white doorbell to be admitted.

NO GUESTS will be allowed. We cannot accommodate them at this time.

NO FOOD IS ALLOWED. Please bring your own water.
​

    HEALTH QUESTIONAIRE


    ​WAIVER, RELEASE, AND CONSENT TO TATTOO

    In consideration of receiving a tattoo from
    and Gnostic Tattoo, LLC (and its employees, apprentices and agents), I agree to the following:
    I hereby declare that I am of legal age (and have provided valid proof of age) and am competent to sign this Agreement.
    I HAVE READ THIS AGREEMENT, I UNDERSTAND IT, I AGREE TO BE BOUND BY IT.
    Max file size: 20MB