WE, THE UNDERSIGNED, CONFIRM THAT ALL STATEMENTS

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AGARU TATTOO AND BODY PIERCING
NOTARIZED PARENTAL CONSENT FORM
I, , being the (Parent/Legal Guardian), and, having shown valid I.D..
Proving so to both Agaru Tattoo and Body Piercing, and the notary of the public
permission to (pierce/tattoo) said minor
I, , who has produced a valid I.D. (Birth Certificate, License, State I.D.,
and/or valid Photo School I.D.), To Agaru Tattoo and Body Piercing, and Notary of public
WE, THE UNDERSIGNED, CONFIRM THAT ALL STATEMENTS MADE ABOVE
ARE TRUE AND ACCURATE. AND THAT AGARU TATTOO AND BODY
PIERCING, SHALL NOT BE HELD LIABLE OR RESPONSIBLE IN ANY FORM
OF DELIBERATE DECEPTION OR FRAUD, ON YOUR BEHALF
(Parent/Legal Guardian)
(Minor Signature)
(Notary Stamp)
(Notary Signature)
Once all state requirements have been met
Agaru Tattoo will be happy to serve you!
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