Email : contact@makabre.fr Address : 55 avenue des Templiers, 88000 Épinal Phone : 09 79 11 53 56 Opening hours : Tue-Sat: 10am - 6pm FREN

CONSENT FORM · ADULT

Your personal data is kept for 3 years for health traceability purposes, then permanently deleted.

Personal information

Health questionnaire

Have you taken aspirin recently?
Have you consumed illicit substances?
Have you consumed alcohol today?
Are you pregnant?
Do you have any coagulation disorders?
Are you on any medication?
Do you have heart problems (pacemaker)?

Agreements & consent

Photo/video authorization: I do / do not authorize Makabre Tattoo Shop to photograph or film my tattoo and share images on social media and/or portfolio.

ID Document (optional)

Signature

A PDF will be sent to your email. Data kept for 3 years.