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. *

I agree to receive SMS/text messages from The Muse Foundation.

By checking this box, I consent to receive text messages from The Muse Foundation regarding the Tit for Tat event, including tattoo registration confirmations, queue updates, tattoo artist availability, and appointment notifications.

Message frequency varies. Msg & data rates may apply. Reply STOP to opt out or HELP for help.

Consent is optional and not required to participate in the event. Privacy Policy · Terms & Conditions