Tattoo Authorization

Walking Murals Tattoo

12555 Mariposa Rd, Suite B, Victorville, CA 92392

California statewide authorization core

Client authorization

Step 1 of 6

Client and procedure

17%

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Client and procedure

Tell us who you are and what tattoo you are receiving

The procedure description and placement will appear in the signed record.

Full legal name *

Date of birth *

I confirm that I am at least 18 years old. *

Artist *

Procedure date *

Tattoo description *

Briefly describe the design or tattoo procedure.

Tattoo placement *

Identify the body location clearly, including left or right when relevant.

This form collects personal, medical, signature, and optional identification information to document tattoo authorization and support the procedure. Completed records are stored privately and are accessible only to the artist and authorized service providers. Contact the artist’s privacy contact with access or deletion questions.

Privacy contact: Privacy Contact