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Birthday
Month
Day
Year

Age Verification + ID

Accepted forms of ID include:

• State-issued driver’s license

• State ID card

• Passport

• Military ID

ID must be valid (not expired) and clearly legible.

Tattoo Details

Artist Name: German Mondragon

Medical / Health Disclosure

Select any that apply

Liability Acknowledgment

Aftercare Agreement

Media / Photography Release

Signature & Authorization

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
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