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2026 CUSTOMER RECORD FORM
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FLORIDA GULF COAST TATTOO EXPO
JUNE 26 - 28, 2026
CALOOSA SOUND CONVENTION CENTER
1375 MONROE STREET, FORT MYERS, FLORIDA
Customer Record Form
Florida Gulf Coast Tattoo Expo 2026
First name
*
Last name
*
Date of Birth
*
Month
Day
Year
Age - NOTE: We do NOT tattoo minors at this convention, even with parental consent. Must be 18 or older.
*
Driver's License or Gov't Issued ID #
*
Email
*
Phone
*
Tattoo or Piercing
*
Describe Tattoo & Location on Body (i.e. - butterfly on inside of left wrist)
*
Please list any medications you are taking (MUST notify your artist if any)
*
Please list any current health issues (MUST notify your artist if any)
*
Please list any allergies (MUST notify your artist if any)
*
Today's Date
Month
Month
Day
Year
Client Signature
*
Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
Artist First/Last Name (Give to Artist to Complete Full Name & Sign Below)
*
Artist Signature
*
Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
Submit
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