Name *

First Name

Last Name

Phone *

(###)

###

####

Shown any of the following symptoms? *

•Fever/chills •Cough/shortness of breath/sore throat •Painful Swallowing

Yes

No

Been under the direction of the provincial health officer to self-isolate? *

Yes

No

Arrived from outside of Canada? *

Yes

No

Been in contact of a confirmed COVID-19 case? *

Yes

No

*

Arrive at the studio alone. At this time, please do not bring guests/friends/family to your tattoo appointment. Due to the size of the studio, I’m limiting the number of people to myself and the client only.

*

When entering the studio, immediately wash hands and follow proper hand washing guidelines (info graphic on proper hand washing technique is already posted in the bathroom).

*

Clients will also be required to wash/sanitize their hands any time they leave the studio and re-enter (going to your car to get something, going outside to smoke, etc)

*

Wear a face mask while in studio/being tattooed (disposable mask will be provided by studio)

*

Pay using debit or credit card only. At this time, no cash or e-transfers for payment the day of your tattoo appointment.

*

No outside food or drink at this time. A personal waterbottle is fine.