TIT FOR TAT TATTOO CONSENT & LIABILITY WAIVER

The Muse Foundation · October 24, 2026 · Whitehaven Community Center

Step 1 of 5: Participant Info

Participant Information

Please complete this form before receiving a tattoo at the Tit for Tat Breast Cancer Awareness Event. You must be at least 18 years old to receive a tattoo at this event.

Full Legal Name*

Date of Birth*

Age*

Phone Number*

Email Address*

Emergency Contact Name

Emergency Contact Phone

I certify that I am at least 18 years of age. *