Release Form for Artist

Quan

Your Info

Your Name(Required)
Nickname or Preferred Name
Your Email Address(Required)
Your Address(Required)

Waive and Release

Please let us know if there's anything that may impact your healing such as being diabetic or taking blood-thinning medication.
If you'd like us to tag you in instagram photos

Your Appointment

MM slash DD slash YYYY
Time of Appointment(Required)
:
Max. file size: 300 MB.
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