Release Form

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First name

Last name

Birthday * required

Phone

I acknowledge Slow Ride Tattoo & Gallery will store and use this infomation to contact me.

Sign me up to receive email notifications and marketing campaigns. (Includes promos & specials)

Email

Select an Artist *

Ploud

Ed

Logan

Jarred

Arvin

Aaron

Mike

Grand

E. Jones

Guest Artist

Are you pregnant? *

Yes

No

Do you have a history of seizures? *

Yes

No

Are you diabetic? *

Yes

No

Are you under the influence of drugs and/or alcohol? *

Yes

No

Do you have any communicable diseases? *

Yes

No

Any allergies? (i.e. latex, lavender, adhesive)

Upload Photo of your ID or Passport

Upload File

Upload supported file (Max 15MB)

Your Signature

By checking this box you are certifying that you understand this release form is a legal document. Any falsifications on this form may result in being banned from Slow Ride Tattoo & Gallery or legal action. Any falsifications do not reflect back on Slow Ride Tattoo & Gallery.

Thanks! You're all set!