{"id":2368,"date":"2023-10-17T22:07:33","date_gmt":"2023-10-17T22:07:33","guid":{"rendered":"http:\/\/kordatattoo.com\/?page_id=2368"},"modified":"2025-05-24T13:14:46","modified_gmt":"2025-05-24T13:14:46","slug":"consent-form","status":"publish","type":"page","link":"https:\/\/kordatattoo.com\/de\/consent-form\/","title":{"rendered":"Consent form"},"content":{"rendered":"<div class=\"wp-block-contact-form-7-contact-form-selector\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f2422-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"2422\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/de\/wp-json\/wp\/v2\/pages\/2368#wpcf7-f2422-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\" data-trp-original-action=\"\/de\/wp-json\/wp\/v2\/pages\/2368#wpcf7-f2422-o1\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"2422\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2422-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div class=\"tattoo-consent-form\">\n\t<h2>Tattoo and Piercing Consent Form\n\t<\/h2>\n\t<p><small>I authorise Korda Tattoo & Piercing Studio to perform a tattoo, piercing or body modification in compliance with the prescribed precautionary measures and only using high quality materials.I am aware that tattooing and piercing are procedures that also require care and aftercare. Infection can never be ruled out and therefore requires constant self-monitoring. If complications occur during the healing process, I will contact Korda Tattoo & Piercing Studio immediately. In case I need medical help, I will ask for it at my own expense. In such a case I release Korda Tattoo & Piercing Studio from all legal claims.<\/small>\n\t<\/p>\n\t<div class=\"form-section\">\n\t\t<div class=\"half-width\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"First Name\" value=\"\" type=\"text\" name=\"first-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"half-width\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Last Name\" value=\"\" type=\"text\" name=\"last-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-section\">\n\t\t<div class=\"half-width\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"street\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Street\" value=\"\" type=\"text\" name=\"street\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"half-width\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"house-number\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"House Number\" value=\"\" type=\"text\" name=\"house-number\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-section\">\n\t\t<div class=\"half-width\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"postal-code\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Postal Code\" value=\"\" type=\"text\" name=\"postal-code\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"half-width\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"city\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"City\" value=\"\" type=\"text\" name=\"city\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"date-of-birth\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Date of Birth\" value=\"\" type=\"date\" name=\"date-of-birth\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Your Email\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Telephone Number\" value=\"\" type=\"tel\" name=\"your-phone\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-instagram\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Instagram Handle (Optional - if you want to be tagged in the post)\" value=\"\" type=\"text\" name=\"your-instagram\" \/><\/span>\n\t<\/p>\n\t<div class=\"form-section\">\n\t\t<div class=\"half-width\">\n\t\t\t<p>Are you pregnant?\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"half-width\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-87\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-87\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-87\" value=\"No\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-section\">\n\t\t<div class=\"half-width\">\n\t\t\t<p>Are you breastfeeding?\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"half-width\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-88\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-88\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-88\" value=\"No\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-section\">\n\t\t<div class=\"half-width\">\n\t\t\t<p>Do you have epilepsy?\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"half-width\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-89\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-89\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-89\" value=\"No\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-section\">\n\t\t<div class=\"half-width\">\n\t\t\t<p>Do you have HIV\/AIDS?\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"half-width\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-90\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-90\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-90\" value=\"No\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-section\">\n\t\t<div class=\"half-width\">\n\t\t\t<p>Do you have diabetes?\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"half-width\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-91\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-91\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-91\" value=\"No\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-section\">\n\t\t<div class=\"half-width\">\n\t\t\t<p>Do you have hepatitis?\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"half-width\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-92\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-92\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-92\" value=\"No\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-section\">\n\t\t<div class=\"half-width\">\n\t\t\t<p>Do you have skin deformations or scars?\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"half-width\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-93\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-93\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-93\" value=\"No\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-section\">\n\t\t<div class=\"half-width\">\n\t\t\t<p>Do you have heart or circulatory problems?\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"half-width\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-94\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-94\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-94\" value=\"No\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-section\">\n\t\t<div class=\"half-width\">\n\t\t\t<p>Do you have chronic diseases?\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"half-width\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-95\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-95\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-95\" value=\"No\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"form-section\">\n\t\t<div class=\"half-width\">\n\t\t\t<p>Do you have any alergies?\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"half-width\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-96\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-96\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-96\" value=\"No\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\n <!-- Add similar sections for other Yes\/No questions -->\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"other-conditions\"><textarea cols=\"30\" rows=\"5\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"If you clicked yes on any question, please tell us more about your condition, or if you have any other conditions, please specify.\" name=\"other-conditions\"><\/textarea><\/span>\n\t<\/p>\n\t<div class=\"form-section\">\n\t\t<div class=\"half-width\">\n\t\t\t<p>I would like to get a\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"half-width\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-97\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-97\" value=\"Tattoo\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Tattoo<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-97\" value=\"Piercing\" \/><span class=\"wpcf7-list-item-label\">Piercing<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"half-width\">\n\t\t\t<p>Would you like to receive emails about exclusive promotions and discounts? (We only send them when there\u2019s something really worth sharing.)\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"half-width\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"radio-99\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-99\" value=\"Yes\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Ja<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-99\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">Nein<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<p><small>*Your personal data will not be used for advertising purposes and will not be passed on to third parties or other persons<\/small>\n\t<\/p>\n\t<p>Signature\n\t<\/p>\n\t<div class=\"signature-container\">\n\t\t<p><div class=\"dscf7_signature\">\n\t\t\t<div class=\"dscf7_signature_inner\">\n\t\t\t\t<canvas id=\"digital_signature-pad_signature-707\" name=\"signature-707\" class=\"digital_signature-pad\" color=\"#000000\" backcolor=\"white\" width=\"300\" height=\"200\"><\/canvas>\n\t\t\t\t<input class=\"clearButton\" type=\"button\" value=\"+\">\n\t\t\t<\/div>\n\t\t\t<span class=\"wpcf7-form-control-wrap signature-707\">\n\t\t\t\t<input class=\"wpcf7-form-control wpcf7-signature wpcf7-validates-as-requiredwpcf7-validates-as-signaturedscf7-signature\" value=\"\" type=\"hidden\" name=\"signature-707\"\/>\n\t\t\t\t<input type=\"hidden\" name=\"signature-707-attachment\" class=\"wpcf7_input_signature-707_attachment\"\/>\n\t\t\t\t<input type=\"hidden\" name=\"signature-707-inline\" class=\"wpcf7_input_signature-707_inline\"\/>\n\t\t\t<\/span>\n\t\t<\/div>\n\t\t<\/p>\n\t<\/div>\n\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Senden\" \/>\n\t<\/p>\n<\/div>\n<p>This form uses Akismet to reduce spam. <a target=\"_blank\" rel=\"nofollow noopener\" href=\"https:\/\/akismet.com\/privacy\/\">Learn how your data is processed.<\/a>\n<\/p><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"248\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<input type=\"hidden\" name=\"trp-form-language\" value=\"de\"\/><\/form>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":119255641,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2368","page","type-page","status-publish","hentry"],"blocksy_meta":[],"_links":{"self":[{"href":"https:\/\/kordatattoo.com\/de\/wp-json\/wp\/v2\/pages\/2368","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kordatattoo.com\/de\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/kordatattoo.com\/de\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/kordatattoo.com\/de\/wp-json\/wp\/v2\/users\/119255641"}],"replies":[{"embeddable":true,"href":"https:\/\/kordatattoo.com\/de\/wp-json\/wp\/v2\/comments?post=2368"}],"version-history":[{"count":9,"href":"https:\/\/kordatattoo.com\/de\/wp-json\/wp\/v2\/pages\/2368\/revisions"}],"predecessor-version":[{"id":5449,"href":"https:\/\/kordatattoo.com\/de\/wp-json\/wp\/v2\/pages\/2368\/revisions\/5449"}],"wp:attachment":[{"href":"https:\/\/kordatattoo.com\/de\/wp-json\/wp\/v2\/media?parent=2368"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}